Provider Demographics
NPI:1558586933
Name:BJORKLUND, SALLY KRISTIN (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:SALLY
Middle Name:KRISTIN
Last Name:BJORKLUND
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:210 W GALER ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-3332
Mailing Address - Country:US
Mailing Address - Phone:206-284-6103
Mailing Address - Fax:
Practice Address - Street 1:210 W GALER ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-3332
Practice Address - Country:US
Practice Address - Phone:206-284-6103
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH0000-4005101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health