Provider Demographics
NPI:1265673420
Name:HIGA, KENDRA ERIN (LMFT)
Entity Type:Individual
Prefix:
First Name:KENDRA
Middle Name:ERIN
Last Name:HIGA
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:KENDRA
Other - Middle Name:ERIN
Other - Last Name:GOSSELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:555 DAYTON ST
Mailing Address - Street 2:SUITE H
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-3601
Mailing Address - Country:US
Mailing Address - Phone:206-300-1102
Mailing Address - Fax:
Practice Address - Street 1:555 DAYTON ST
Practice Address - Street 2:SUITE H
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3601
Practice Address - Country:US
Practice Address - Phone:206-300-1102
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-18
Last Update Date:2014-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF 60486682106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist