Provider Demographics
NPI:1245677962
Name:BRAILE, KAITLYN ANNE (MA, LMHCA)
Entity type:Individual
Prefix:
First Name:KAITLYN
Middle Name:ANNE
Last Name:BRAILE
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:KAITLYN
Other - Middle Name:ANNE
Other - Last Name:SPERLINE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1600 E OLIVE ST
Mailing Address - Street 2:SOUND MENTAL HEALTH
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2735
Mailing Address - Country:US
Mailing Address - Phone:206-302-2200
Mailing Address - Fax:206-302-2210
Practice Address - Street 1:2212 1ST AVE
Practice Address - Street 2:FISH - KASOTA APARTMENTS
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98121-1615
Practice Address - Country:US
Practice Address - Phone:206-728-0953
Practice Address - Fax:206-302-2210
Is Sole Proprietor?:No
Enumeration Date:2013-06-04
Last Update Date:2013-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60285342101Y00000X, 101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor