Provider Demographics
NPI:1285848267
Name:HANSON, KATHERINE A (LMHC)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:A
Last Name:HANSON
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:738 N 179TH ST
Mailing Address - Street 2:
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-4730
Mailing Address - Country:US
Mailing Address - Phone:206-713-2879
Mailing Address - Fax:206-546-1085
Practice Address - Street 1:738 N 179TH ST
Practice Address - Street 2:
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-4730
Practice Address - Country:US
Practice Address - Phone:206-713-2879
Practice Address - Fax:206-546-1085
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-09
Last Update Date:2015-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00007557101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health