Provider Demographics
NPI:1821551540
Name:MCGURN, KAITLYN SCOTT (LMHC)
Entity Type:Individual
Prefix:
First Name:KAITLYN
Middle Name:SCOTT
Last Name:MCGURN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:ELIZABETH
Other - Last Name:SCOTT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:2601 NW 65TH ST APT 3
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98117-5900
Mailing Address - Country:US
Mailing Address - Phone:703-946-1172
Mailing Address - Fax:
Practice Address - Street 1:8401 5TH AVE NE STE 101
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-4186
Practice Address - Country:US
Practice Address - Phone:206-553-9977
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-04-09
Last Update Date:2019-05-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60910102101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health