Provider Demographics
NPI:1306036587
Name:LYONS, KATHRYN JARRETT (LMHC)
Entity Type:Individual
Prefix:MS
First Name:KATHRYN
Middle Name:JARRETT
Last Name:LYONS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:KATHRYN
Other - Middle Name:LESLIE
Other - Last Name:JARRETT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHCC
Mailing Address - Street 1:700 40TH ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98229
Mailing Address - Country:US
Mailing Address - Phone:360-733-7985
Mailing Address - Fax:
Practice Address - Street 1:1231 GARDEN ST
Practice Address - Street 2:SUITE 200
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225
Practice Address - Country:US
Practice Address - Phone:360-733-7985
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-25
Last Update Date:2007-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003700101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor