Provider Demographics
NPI:1184333718
Name:GUGIU, KATHERINE (MFT)
Entity type:Individual
Prefix:
First Name:KATHERINE
Middle Name:
Last Name:GUGIU
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:353 WALLACE WAY NE APT 13
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-2830
Mailing Address - Country:US
Mailing Address - Phone:714-732-6370
Mailing Address - Fax:
Practice Address - Street 1:785 ERICKSEN AVE NE STE 117
Practice Address - Street 2:
Practice Address - City:BAINBRIDGE ISLAND
Practice Address - State:WA
Practice Address - Zip Code:98110-1874
Practice Address - Country:US
Practice Address - Phone:714-732-6370
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-22
Last Update Date:2022-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA86399106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist