Provider Demographics
NPI:1326270497
Name:AUERBACH, ANNE M (MA LMFT,LMHC, MHP)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:M
Last Name:AUERBACH
Suffix:
Gender:F
Credentials:MA LMFT,LMHC, MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 262
Mailing Address - Street 2:WILLOW COUNSELING CLINIC
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98083-0262
Mailing Address - Country:US
Mailing Address - Phone:425-786-3658
Mailing Address - Fax:
Practice Address - Street 1:318 2ND ST S
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6513
Practice Address - Country:US
Practice Address - Phone:425-786-3658
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-21
Last Update Date:2013-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60274897101YM0800X
WALF 60254609106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health