Provider Demographics
NPI:1225797947
Name:SECHRIST, KIERSTEN (MA, LMHCA)
Entity Type:Individual
Prefix:
First Name:KIERSTEN
Middle Name:
Last Name:SECHRIST
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18019 ASHWORTH AVE N
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-4524
Mailing Address - Country:US
Mailing Address - Phone:434-209-7738
Mailing Address - Fax:
Practice Address - Street 1:18019 ASHWORTH AVE N
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-4524
Practice Address - Country:US
Practice Address - Phone:434-209-7738
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-09
Last Update Date:2021-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61010868101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional