Provider Demographics
NPI:1376634022
Name:HAMMOND, KATHLEEN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:
Last Name:HAMMOND
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13730 15TH AVE NE
Mailing Address - Street 2:#C204
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-3112
Mailing Address - Country:US
Mailing Address - Phone:206-726-9158
Mailing Address - Fax:
Practice Address - Street 1:13730 15TH AVE NE
Practice Address - Street 2:#C204
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-3112
Practice Address - Country:US
Practice Address - Phone:206-726-9158
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WI256-124106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist