Provider Demographics
NPI:1407994460
Name:SINES, AUDREY ANN (LMHC)
Entity Type:Individual
Prefix:
First Name:AUDREY
Middle Name:ANN
Last Name:SINES
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 1:23403 E MISSION AVE STE 200D
Mailing Address - Street 2:
Mailing Address - City:LIBERTY LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:99019-7575
Mailing Address - Country:US
Mailing Address - Phone:208-755-1119
Mailing Address - Fax:
Practice Address - Street 1:23403 E MISSION AVE STE 200D
Practice Address - Street 2:
Practice Address - City:LIBERTY LAKE
Practice Address - State:WA
Practice Address - Zip Code:99019-7575
Practice Address - Country:US
Practice Address - Phone:208-755-1119
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-02-02
Last Update Date:2021-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor