Provider Demographics
NPI:1215395330
Name:TOOKEY, ANNIE (LMFT)
Entity Type:Individual
Prefix:
First Name:ANNIE
Middle Name:
Last Name:TOOKEY
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12220 113TH AVE NE
Mailing Address - Street 2:STE 180
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-6915
Mailing Address - Country:US
Mailing Address - Phone:253-973-6307
Mailing Address - Fax:
Practice Address - Street 1:12220 113TH AVE NE
Practice Address - Street 2:STE 180
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-6915
Practice Address - Country:US
Practice Address - Phone:253-973-6307
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-03
Last Update Date:2017-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60502755106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist