Provider Demographics
NPI:1225183825
Name:DAHLMAN, KRISTI LEE (LMHC, LPC)
Entity Type:Individual
Prefix:
First Name:KRISTI
Middle Name:LEE
Last Name:DAHLMAN
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:KRISTI
Other - Middle Name:LEE
Other - Last Name:LITZINGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC, LPC
Mailing Address - Street 1:PO BOX 671
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:OR
Mailing Address - Zip Code:97338-0671
Mailing Address - Country:US
Mailing Address - Phone:425-417-0987
Mailing Address - Fax:425-420-2668
Practice Address - Street 1:555 DAYTON ST STE A3
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3647
Practice Address - Country:US
Practice Address - Phone:425-417-0987
Practice Address - Fax:425-420-2668
Is Sole Proprietor?:No
Enumeration Date:2007-01-24
Last Update Date:2021-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00009893101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA3525DAOtherREGENCE