Provider Demographics
NPI:1346437225
Name:PERMAN, CHAD (LMFT)
Entity Type:Individual
Prefix:MR
First Name:CHAD
Middle Name:
Last Name:PERMAN
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12040 98TH AVE NE STE 203
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4217
Mailing Address - Country:US
Mailing Address - Phone:206-494-3371
Mailing Address - Fax:
Practice Address - Street 1:12040 98TH AVE NE STE 203
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4217
Practice Address - Country:US
Practice Address - Phone:206-494-3371
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-09-25
Last Update Date:2023-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002671106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist