Provider Demographics
NPI:1902379118
Name:COLLABORATIVE COUNSELING LLC
Entity Type:Organization
Organization Name:COLLABORATIVE COUNSELING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:ANNE
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:CAHANIN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:425-284-9910
Mailing Address - Street 1:16618 JUANITA DR NE APT B102
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028-6309
Mailing Address - Country:US
Mailing Address - Phone:301-980-6541
Mailing Address - Fax:
Practice Address - Street 1:17220 127TH PL NE STE 101
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-7965
Practice Address - Country:US
Practice Address - Phone:425-284-9910
Practice Address - Fax:425-354-4252
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty