Provider Demographics
NPI:1457547382
Name:LORENZ, CATHLEEN (MA)
Entity Type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:
Last Name:LORENZ
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25805 135TH DR NE
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-6819
Mailing Address - Country:US
Mailing Address - Phone:425-231-0204
Mailing Address - Fax:
Practice Address - Street 1:16404 SMOKEY POINT BLVD
Practice Address - Street 2:SUITE #208
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-8417
Practice Address - Country:US
Practice Address - Phone:425-231-0204
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-25
Last Update Date:2015-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60263858101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health