Provider Demographics
NPI:1235282021
Name:KING, PATRICIA JUDITH (LMHC, CMHS)
Entity Type:Individual
Prefix:MS
First Name:PATRICIA
Middle Name:JUDITH
Last Name:KING
Suffix:
Gender:F
Credentials:LMHC, CMHS
Other - Prefix:MS
Other - First Name:PATRICIA
Other - Middle Name:JUDITH
Other - Last Name:BOILER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3330 MONTE VILLA PKWY
Mailing Address - Street 2:NORTHSHORE SCHOOL DISTRICT
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-8972
Mailing Address - Country:US
Mailing Address - Phone:425-408-7733
Mailing Address - Fax:425-408-7740
Practice Address - Street 1:3330 MONTE VILLA PKWY
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-8972
Practice Address - Country:US
Practice Address - Phone:425-408-7733
Practice Address - Fax:425-408-7740
Is Sole Proprietor?:No
Enumeration Date:2007-01-18
Last Update Date:2017-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool