Provider Demographics
NPI:1134653280
Name:KAUFMAN, ISABEL
Entity Type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:
Last Name:KAUFMAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1225 E SUNSET DR STE 145431
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98226-3597
Mailing Address - Country:US
Mailing Address - Phone:360-927-1980
Mailing Address - Fax:360-746-2323
Practice Address - Street 1:1225 E SUNSET DR STE 145431
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98226-3597
Practice Address - Country:US
Practice Address - Phone:360-927-1980
Practice Address - Fax:360-746-2323
Is Sole Proprietor?:Yes
Enumeration Date:2017-04-16
Last Update Date:2022-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60417437101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health