Provider Demographics
NPI:1295598928
Name:BUNIN, NATASHA TAKEUCHI (MA, LMHCA)
Entity type:Individual
Prefix:MRS
First Name:NATASHA
Middle Name:TAKEUCHI
Last Name:BUNIN
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5607 42ND AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1510
Mailing Address - Country:US
Mailing Address - Phone:206-659-6957
Mailing Address - Fax:
Practice Address - Street 1:5607 42ND AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1510
Practice Address - Country:US
Practice Address - Phone:206-659-6957
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-05
Last Update Date:2024-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61518870101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health