Provider Demographics
NPI:1477985133
Name:COLIN, KAYA (MSW, LMHC)
Entity Type:Individual
Prefix:
First Name:KAYA
Middle Name:
Last Name:COLIN
Suffix:
Gender:F
Credentials:MSW, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:625 W RAILROAD AVE # 216
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:WA
Mailing Address - Zip Code:98584-3522
Mailing Address - Country:US
Mailing Address - Phone:360-450-4405
Mailing Address - Fax:
Practice Address - Street 1:5600 RAINIER AVE S STE C-206
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-2407
Practice Address - Country:US
Practice Address - Phone:360-450-4405
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-08-05
Last Update Date:2023-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60934450101YM0800X
101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health