Provider Demographics
NPI:1861826265
Name:SCHUMAKER, KATHRYN AVERSENTI (MA, LMHC, ATR)
Entity Type:Individual
Prefix:
First Name:KATHRYN
Middle Name:AVERSENTI
Last Name:SCHUMAKER
Suffix:
Gender:F
Credentials:MA, LMHC, ATR
Other - Prefix:
Other - First Name:KATY
Other - Middle Name:AVERSENTI
Other - Last Name:SCHUMAKER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMHC
Mailing Address - Street 1:652 SW 150TH ST
Mailing Address - Street 2:
Mailing Address - City:BURIEN
Mailing Address - State:WA
Mailing Address - Zip Code:98166-4612
Mailing Address - Country:US
Mailing Address - Phone:206-948-5289
Mailing Address - Fax:206-838-5511
Practice Address - Street 1:652 SW 150TH ST
Practice Address - Street 2:SUITE D
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-4612
Practice Address - Country:US
Practice Address - Phone:206-948-5289
Practice Address - Fax:206-838-5511
Is Sole Proprietor?:Yes
Enumeration Date:2013-08-21
Last Update Date:2016-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60335665101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health