Provider Demographics
NPI:1851640759
Name:VAN LIER RIBBINK, LAHLAE DANIELLE (MA, LMHCA)
Entity Type:Individual
Prefix:MRS
First Name:LAHLAE
Middle Name:DANIELLE
Last Name:VAN LIER RIBBINK
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:LAHLAE
Other - Middle Name:
Other - Last Name:RIBBINK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:10550 LAKE CITY WAY NE
Mailing Address - Street 2:STE E
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-7766
Mailing Address - Country:US
Mailing Address - Phone:206-745-0318
Mailing Address - Fax:
Practice Address - Street 1:10550 LAKE CITY WAY NE
Practice Address - Street 2:STE E
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-7766
Practice Address - Country:US
Practice Address - Phone:206-745-0318
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2012-09-06
Last Update Date:2015-06-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60282084101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor