Provider Demographics
NPI:1649682394
Name:HEATH, CATHERINE JEAN (LMFTA)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:JEAN
Last Name:HEATH
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:CATIE
Other - Middle Name:
Other - Last Name:WILKINS
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFTA
Mailing Address - Street 1:12025 115TH AVE NE
Mailing Address - Street 2:BLDG D, STE 200
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034
Mailing Address - Country:US
Mailing Address - Phone:425-821-1810
Mailing Address - Fax:
Practice Address - Street 1:13303 NE 175TH ST STE A
Practice Address - Street 2:
Practice Address - City:WOODINVILLE
Practice Address - State:WA
Practice Address - Zip Code:98072-8503
Practice Address - Country:US
Practice Address - Phone:253-254-5126
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-05-29
Last Update Date:2024-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60468534106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist