Provider Demographics
NPI:1336373059
Name:ROWLEY, KRISTY MARIE (MA, LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:KRISTY
Middle Name:MARIE
Last Name:ROWLEY
Suffix:
Gender:F
Credentials:MA, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10512 NE 68TH ST
Mailing Address - Street 2:STE. 202
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-7002
Mailing Address - Country:US
Mailing Address - Phone:206-861-5060
Mailing Address - Fax:425-822-3418
Practice Address - Street 1:10512 NE 68TH ST
Practice Address - Street 2:STE. 202
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7002
Practice Address - Country:US
Practice Address - Phone:206-861-5060
Practice Address - Fax:425-822-3418
Is Sole Proprietor?:Yes
Enumeration Date:2009-05-08
Last Update Date:2009-05-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60058673101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health