Provider Demographics
NPI:1235411604
Name:KOWALINSKI, EMMA ALICE (MS, LMFT, MDFT)
Entity Type:Individual
Prefix:MRS
First Name:EMMA
Middle Name:ALICE
Last Name:KOWALINSKI
Suffix:
Gender:F
Credentials:MS, LMFT, MDFT
Other - Prefix:MS
Other - First Name:EMMA
Other - Middle Name:ALICE
Other - Last Name:HUGHES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS, LMFTA, MDFT
Mailing Address - Street 1:22216 SE 272ND ST
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038
Mailing Address - Country:US
Mailing Address - Phone:425-310-2383
Mailing Address - Fax:
Practice Address - Street 1:22216 SE 272ND ST
Practice Address - Street 2:
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038
Practice Address - Country:US
Practice Address - Phone:425-310-2383
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-09-12
Last Update Date:2016-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF60625026106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist