Provider Demographics
NPI:1710204805
Name:ARQUETTE, KRISTEN (MED LMFT CDP CMHS)
Entity Type:Individual
Prefix:MS
First Name:KRISTEN
Middle Name:
Last Name:ARQUETTE
Suffix:
Gender:F
Credentials:MED LMFT CDP CMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 LAKE BELLEVUE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98005-2480
Mailing Address - Country:US
Mailing Address - Phone:425-209-1393
Mailing Address - Fax:
Practice Address - Street 1:40 LAKE BELLEVUE DR STE 100
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98005
Practice Address - Country:US
Practice Address - Phone:425-209-1393
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-28
Last Update Date:2018-08-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP60799336101YA0400X
WALF60889295106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)