Provider Demographics
NPI:1407004484
Name:NASH, LORI (MA, LMHC, MFT)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:
Last Name:NASH
Suffix:
Gender:F
Credentials:MA, LMHC, MFT
Other - Prefix:
Other - First Name:LORI
Other - Middle Name:
Other - Last Name:GOULET
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1115 SE 164TH AVE DEPT 358
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98683-8004
Mailing Address - Country:US
Mailing Address - Phone:360-729-1462
Mailing Address - Fax:360-729-3104
Practice Address - Street 1:800 E CHESTNUT ST STE 3E
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-5241
Practice Address - Country:US
Practice Address - Phone:360-788-6565
Practice Address - Fax:360-788-6567
Is Sole Proprietor?:No
Enumeration Date:2008-09-03
Last Update Date:2019-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60136368106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist