Provider Demographics
NPI:1578126017
Name:KAUFMANN, MARIANNE EUGENIA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:MARIANNE
Middle Name:EUGENIA
Last Name:KAUFMANN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:835 LIVINGSTON BAY SHORE DR
Mailing Address - Street 2:
Mailing Address - City:CAMANO ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98282-8853
Mailing Address - Country:US
Mailing Address - Phone:206-651-5006
Mailing Address - Fax:
Practice Address - Street 1:835 LIVINGSTON BAY SHORE DR
Practice Address - Street 2:
Practice Address - City:CAMANO ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98282-8853
Practice Address - Country:US
Practice Address - Phone:626-565-2016
Practice Address - Fax:626-884-3557
Is Sole Proprietor?:Yes
Enumeration Date:2019-04-19
Last Update Date:2024-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61086250101Y00000X, 101YM0800X, 101Y00000X
WACO60963972101YA0400X
WALH61372235101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)