Provider Demographics
NPI:1235860974
Name:ATKINSON, KARA MARIE (LMHCA)
Entity Type:Individual
Prefix:MS
First Name:KARA
Middle Name:MARIE
Last Name:ATKINSON
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3821 23RD AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-2333
Mailing Address - Country:US
Mailing Address - Phone:608-697-5491
Mailing Address - Fax:
Practice Address - Street 1:22232 17TH AVE SE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98021-7430
Practice Address - Country:US
Practice Address - Phone:608-697-5491
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-23
Last Update Date:2022-06-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61285687101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health