Provider Demographics
NPI:1518316249
Name:KOCOTT, CHRISTINA HOPE (MA, LMHCA, LMFTA)
Entity Type:Individual
Prefix:
First Name:CHRISTINA
Middle Name:HOPE
Last Name:KOCOTT
Suffix:
Gender:F
Credentials:MA, LMHCA, LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4113 BRIDGEPORT WAY W STE F
Mailing Address - Street 2:
Mailing Address - City:UNIVERSITY PL
Mailing Address - State:WA
Mailing Address - Zip Code:98466-4325
Mailing Address - Country:US
Mailing Address - Phone:253-460-5524
Mailing Address - Fax:253-444-5451
Practice Address - Street 1:4113 BRIDGEPORT WAY W STE F
Practice Address - Street 2:
Practice Address - City:UNIVERSITY PL
Practice Address - State:WA
Practice Address - Zip Code:98466-4325
Practice Address - Country:US
Practice Address - Phone:253-460-5524
Practice Address - Fax:253-444-5451
Is Sole Proprietor?:Yes
Enumeration Date:2016-06-03
Last Update Date:2022-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60628784106H00000X
WAMC60628572101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist