Provider Demographics
NPI:1023472958
Name:MEYER, KARA (MS, LMHC)
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:
Last Name:MEYER
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 3
Mailing Address - Street 2:
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019-0003
Mailing Address - Country:US
Mailing Address - Phone:425-224-6123
Mailing Address - Fax:425-955-9510
Practice Address - Street 1:15715 MAIN ST NE STE 210
Practice Address - Street 2:
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019-8580
Practice Address - Country:US
Practice Address - Phone:425-224-5438
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-06
Last Update Date:2021-05-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60691725101Y00000X
CAIMF91818106H00000X
WALH60882087101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist