Provider Demographics
NPI:1346423712
Name:KOSIK, KAREN G (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:KAREN
Middle Name:G
Last Name:KOSIK
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6001 204TH ST SW
Mailing Address - Street 2:#208
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-6025
Mailing Address - Country:US
Mailing Address - Phone:206-992-5250
Mailing Address - Fax:
Practice Address - Street 1:51 W DAYTON ST
Practice Address - Street 2:SUITE 102
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-4111
Practice Address - Country:US
Practice Address - Phone:206-300-2624
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-08
Last Update Date:2015-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60034708101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WALH60034708OtherLICENSED MENTAL HEALTH COUNSELOR