Provider Demographics
NPI:1972143501
Name:REDING, KATHLEEN MARGARET (LMHC)
Entity Type:Individual
Prefix:MS
First Name:KATHLEEN
Middle Name:MARGARET
Last Name:REDING
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2211 21ST ST
Mailing Address - Street 2:
Mailing Address - City:ANACORTES
Mailing Address - State:WA
Mailing Address - Zip Code:98221-2475
Mailing Address - Country:US
Mailing Address - Phone:360-969-2148
Mailing Address - Fax:
Practice Address - Street 1:10227 273RD PL NW
Practice Address - Street 2:
Practice Address - City:STANWOOD
Practice Address - State:WA
Practice Address - Zip Code:98292-8043
Practice Address - Country:US
Practice Address - Phone:360-969-2148
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-11
Last Update Date:2020-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA455910J101YS0200X
WALH60592743101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool