Provider Demographics
NPI:1528571221
Name:KRAVITS, KATHY (LMHC, RHT)
Entity Type:Individual
Prefix:
First Name:KATHY
Middle Name:
Last Name:KRAVITS
Suffix:
Gender:F
Credentials:LMHC, RHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1428 E LIBERTY AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99207-4761
Mailing Address - Country:US
Mailing Address - Phone:626-840-8387
Mailing Address - Fax:
Practice Address - Street 1:906 W 2ND AVE STE 600
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99201-4539
Practice Address - Country:US
Practice Address - Phone:509-458-5889
Practice Address - Fax:509-624-1216
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-16
Last Update Date:2017-11-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60781769101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health