Provider Demographics
NPI:1396368296
Name:HAN, SI YING (LMFTA)
Entity Type:Individual
Prefix:
First Name:SI YING
Middle Name:
Last Name:HAN
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:KIRSTIN
Other - Middle Name:
Other - Last Name:HAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMFTA
Mailing Address - Street 1:14048 SE 158TH ST
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98058-7812
Mailing Address - Country:US
Mailing Address - Phone:425-753-9796
Mailing Address - Fax:253-564-4409
Practice Address - Street 1:3560 BRIDGEPORT WAY W STE 2C
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PLACE
Practice Address - State:WA
Practice Address - Zip Code:98466-4446
Practice Address - Country:US
Practice Address - Phone:253-460-7248
Practice Address - Fax:253-564-4409
Is Sole Proprietor?:No
Enumeration Date:2020-05-26
Last Update Date:2020-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health