Provider Demographics
NPI:1295973436
Name:TRESTRAIL, CATHERINE J (MSW, ACSW, CDP)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:J
Last Name:TRESTRAIL
Suffix:
Gender:F
Credentials:MSW, ACSW, CDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1553 N 38TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8161
Mailing Address - Country:US
Mailing Address - Phone:206-632-1592
Mailing Address - Fax:
Practice Address - Street 1:4649 SUNNYSIDE AVE N
Practice Address - Street 2:SUITE 200
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-6900
Practice Address - Country:US
Practice Address - Phone:206-632-1592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-26
Last Update Date:2009-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC00004588101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)