Provider Demographics
NPI:1467604355
Name:MCKENNA, KATHERINE ELIZABETH (CN, LMHC)
Entity Type:Individual
Prefix:MS
First Name:KATHERINE
Middle Name:ELIZABETH
Last Name:MCKENNA
Suffix:
Gender:F
Credentials:CN, LMHC
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:
Other - Last Name:UXA, BRINKER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1914 N 34TH ST
Mailing Address - Street 2:SUITE 403
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-9058
Mailing Address - Country:US
Mailing Address - Phone:425-231-2796
Mailing Address - Fax:
Practice Address - Street 1:1914 N 34TH ST
Practice Address - Street 2:STE 403
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-9058
Practice Address - Country:US
Practice Address - Phone:425-231-2796
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-10-22
Last Update Date:2016-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WANU60107213133N00000X
WALH60248835101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes133N00000XDietary & Nutritional Service ProvidersNutritionist
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health