Provider Demographics
NPI:1578034591
Name:WOJCIK, KATYA (MAED, LMHC, MHP)
Entity Type:Individual
Prefix:
First Name:KATYA
Middle Name:
Last Name:WOJCIK
Suffix:
Gender:F
Credentials:MAED, LMHC, MHP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:306 WELLS AVE S UNIT D
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98057-2786
Mailing Address - Country:US
Mailing Address - Phone:425-362-9420
Mailing Address - Fax:
Practice Address - Street 1:306 WELLS AVE S UNIT D
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98057-2786
Practice Address - Country:US
Practice Address - Phone:206-479-4545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-17
Last Update Date:2021-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60889097101Y00000X
WACO60889544390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program