Provider Demographics
NPI:1144376187
Name:LINCOLN, ANNA LOUISE (LMHC, CDP)
Entity Type:Individual
Prefix:MS
First Name:ANNA
Middle Name:LOUISE
Last Name:LINCOLN
Suffix:
Gender:F
Credentials:LMHC, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:426 S 54TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98408-6551
Mailing Address - Country:US
Mailing Address - Phone:253-273-8598
Mailing Address - Fax:253-590-0224
Practice Address - Street 1:5435 SOUTH M ST
Practice Address - Street 2:#107
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98408-3530
Practice Address - Country:US
Practice Address - Phone:253-273-8598
Practice Address - Fax:253-590-0224
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-25
Last Update Date:2009-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00004642101YA0400X
WALH00006927101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)