Provider Demographics
NPI:1629139241
Name:BIKTIMIR, H ROKSAN (PHD LMHC)
Entity Type:Individual
Prefix:DR
First Name:H ROKSAN
Middle Name:
Last Name:BIKTIMIR
Suffix:
Gender:F
Credentials:PHD LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:720 MAIN ST STE 224
Mailing Address - Street 2:
Mailing Address - City:MOUNT VERNON
Mailing Address - State:WA
Mailing Address - Zip Code:98273-3830
Mailing Address - Country:US
Mailing Address - Phone:800-498-4122
Mailing Address - Fax:360-679-4788
Practice Address - Street 1:720 MAIN ST
Practice Address - Street 2:STE 220
Practice Address - City:MOUNT VERNON
Practice Address - State:WA
Practice Address - Zip Code:98273-3830
Practice Address - Country:US
Practice Address - Phone:800-498-4122
Practice Address - Fax:360-679-4788
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2021-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004728101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8903915Medicaid