Provider Demographics
NPI:1720215338
Name:MCCONNELL, LORI CHRISTINE (MS, LMHC, NCC)
Entity Type:Individual
Prefix:MRS
First Name:LORI
Middle Name:CHRISTINE
Last Name:MCCONNELL
Suffix:
Gender:F
Credentials:MS, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3213 CALIFORNIA AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-3304
Mailing Address - Country:US
Mailing Address - Phone:206-349-3625
Mailing Address - Fax:206-933-2687
Practice Address - Street 1:3213 CALIFORNIA AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-3304
Practice Address - Country:US
Practice Address - Phone:206-349-3625
Practice Address - Fax:206-933-2687
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-22
Last Update Date:2009-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008238174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist