Provider Demographics
NPI:1265820187
Name:KRISTI L DAHLMAN, INC
Entity Type:Organization
Organization Name:KRISTI L DAHLMAN, INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER, PRESIDENT, THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTI
Authorized Official - Middle Name:LEE
Authorized Official - Last Name:DAHLMAN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, LPC
Authorized Official - Phone:425-417-0987
Mailing Address - Street 1:PO BOX 671
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:OR
Mailing Address - Zip Code:97338-0671
Mailing Address - Country:US
Mailing Address - Phone:425-417-0987
Mailing Address - Fax:425-420-2668
Practice Address - Street 1:555 DAYTON ST STE A3
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3647
Practice Address - Country:US
Practice Address - Phone:425-417-0987
Practice Address - Fax:425-420-2668
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-12-30
Last Update Date:2021-11-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00009893101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty