Provider Demographics
NPI:1760156012
Name:HUMPHREYS, KARI ANNE (MS, LMHCA)
Entity Type:Individual
Prefix:
First Name:KARI
Middle Name:ANNE
Last Name:HUMPHREYS
Suffix:
Gender:F
Credentials:MS, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:203 W HOLLY ST STE 223
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-4329
Mailing Address - Country:US
Mailing Address - Phone:360-207-1574
Mailing Address - Fax:
Practice Address - Street 1:203 W HOLLY STREET
Practice Address - Street 2:STE 223
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225
Practice Address - Country:US
Practice Address - Phone:360-207-1574
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-02
Last Update Date:2023-11-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61364998101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health