Provider Demographics
NPI:1013522598
Name:BABCOCK, ANNA ARLENE (MA, LMHC)
Entity type:Individual
Prefix:MRS
First Name:ANNA
Middle Name:ARLENE
Last Name:BABCOCK
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18516 101ST AVE NE STE 3
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3874
Mailing Address - Country:US
Mailing Address - Phone:206-552-9703
Mailing Address - Fax:206-397-0883
Practice Address - Street 1:10116 MAIN ST STE 104
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3448
Practice Address - Country:US
Practice Address - Phone:206-552-9703
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-11
Last Update Date:2024-04-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health