Provider Demographics
NPI:1184929069
Name:OXBORROW, KATRINA CECELIA (LMHC)
Entity type:Individual
Prefix:
First Name:KATRINA
Middle Name:CECELIA
Last Name:OXBORROW
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:PO BOX 1934
Mailing Address - Street 2:
Mailing Address - City:SUMNER
Mailing Address - State:WA
Mailing Address - Zip Code:98390-0420
Mailing Address - Country:US
Mailing Address - Phone:206-701-4019
Mailing Address - Fax:
Practice Address - Street 1:400 E PIONEER STE 207
Practice Address - Street 2:
Practice Address - City:PUYALLUP
Practice Address - State:WA
Practice Address - Zip Code:98372-3257
Practice Address - Country:US
Practice Address - Phone:425-345-4857
Practice Address - Fax:253-841-9792
Is Sole Proprietor?:Yes
Enumeration Date:2011-01-24
Last Update Date:2016-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60196743101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health