Provider Demographics
NPI:1427577717
Name:KRENZKE, HALEY MARIE (MS, LMFT)
Entity Type:Individual
Prefix:
First Name:HALEY
Middle Name:MARIE
Last Name:KRENZKE
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2366 EASTLAKE AVE E STE 402
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3394
Mailing Address - Country:US
Mailing Address - Phone:206-202-3133
Mailing Address - Fax:
Practice Address - Street 1:2366 EASTLAKE AVE E STE 402
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3394
Practice Address - Country:US
Practice Address - Phone:206-202-3133
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-18
Last Update Date:2022-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF61180424106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist