Provider Demographics
NPI:1811599855
Name:SCHANK, KELSEY CATHERINE (LMFT)
Entity Type:Individual
Prefix:
First Name:KELSEY
Middle Name:CATHERINE
Last Name:SCHANK
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:223 N YAKIMA AVE
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98403-2230
Mailing Address - Country:US
Mailing Address - Phone:253-448-7075
Mailing Address - Fax:
Practice Address - Street 1:223 N YAKIMA AVE
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98403-2230
Practice Address - Country:US
Practice Address - Phone:253-448-7075
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-11-13
Last Update Date:2024-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF61374238106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist