Provider Demographics
NPI:1093288763
Name:SARIN, KATHRYN PEARL (MA, EDS)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:PEARL
Last Name:SARIN
Suffix:
Gender:F
Credentials:MA, EDS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15419 168TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98072-9041
Mailing Address - Country:US
Mailing Address - Phone:425-896-0031
Mailing Address - Fax:
Practice Address - Street 1:13303 NE 175TH ST STE A
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-8503
Practice Address - Country:US
Practice Address - Phone:425-896-0031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-05
Last Update Date:2020-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61090649101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health