Provider Demographics
NPI:1629467634
Name:JAMES, KATHRYN (BSW)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:
Last Name:JAMES
Suffix:
Gender:F
Credentials:BSW
Other - Prefix:
Other - First Name:KATHRYN
Other - Middle Name:R
Other - Last Name:STARNES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:BSW
Mailing Address - Street 1:15302 MILL CREEK BLVD
Mailing Address - Street 2:DD101
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012
Mailing Address - Country:US
Mailing Address - Phone:936-827-4782
Mailing Address - Fax:
Practice Address - Street 1:3322 BROADWAY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98201-4425
Practice Address - Country:US
Practice Address - Phone:425-349-8359
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-01-14
Last Update Date:2015-01-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor