Provider Demographics
NPI:1497547467
Name:BUCHANAN, NANCY (LMHC, CP)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:BUCHANAN
Suffix:
Gender:F
Credentials:LMHC, CP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14055 183RD AVE SE
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98059-7654
Mailing Address - Country:US
Mailing Address - Phone:425-235-4694
Mailing Address - Fax:
Practice Address - Street 1:14055 183RD AVE SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059-7654
Practice Address - Country:US
Practice Address - Phone:425-235-4694
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-19
Last Update Date:2025-05-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010358101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health