Provider Demographics
NPI:1467667667
Name:REEP, KARIN E LINDEROTH (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KARIN
Middle Name:E LINDEROTH
Last Name:REEP
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15327 286TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019-8542
Mailing Address - Country:US
Mailing Address - Phone:425-788-0860
Mailing Address - Fax:425-788-9921
Practice Address - Street 1:15321 MAIN ST.NE
Practice Address - Street 2:SUITE 316
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019-0433
Practice Address - Country:US
Practice Address - Phone:425-788-9921
Practice Address - Fax:425-788-9921
Is Sole Proprietor?:No
Enumeration Date:2007-05-11
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00001104106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist