Provider Demographics
NPI:1376964742
Name:TALBOTT, KATIE C (LMHC)
Entity Type:Individual
Prefix:MS
First Name:KATIE
Middle Name:C
Last Name:TALBOTT
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 N 35TH ST STE 201
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8816
Mailing Address - Country:US
Mailing Address - Phone:206-335-5677
Mailing Address - Fax:
Practice Address - Street 1:720 N 35TH ST STE 201
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8816
Practice Address - Country:US
Practice Address - Phone:206-335-5677
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-02
Last Update Date:2014-04-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60163648101YM0800X
WALH60459215101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health