Provider Demographics
NPI:1821573262
Name:HIGUERA, KATHERINE SHARON (LICSW)
Entity Type:Individual
Prefix:
First Name:KATHERINE
Middle Name:SHARON
Last Name:HIGUERA
Suffix:
Gender:F
Credentials:LICSW
Other - Prefix:
Other - First Name:KATHERINE
Other - Middle Name:SHARON
Other - Last Name:HIGUERA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LICSW
Mailing Address - Street 1:924 7TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98501-1548
Mailing Address - Country:US
Mailing Address - Phone:425-344-9785
Mailing Address - Fax:
Practice Address - Street 1:924 7TH AVE SE
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98501-1548
Practice Address - Country:US
Practice Address - Phone:425-344-9785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-10-02
Last Update Date:2020-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALW000056481041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical