Provider Demographics
NPI:1649729013
Name:KRISTIN HARPER COUNSELING
Entity type:Organization
Organization Name:KRISTIN HARPER COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:RAE
Authorized Official - Last Name:HARPER
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT, CMHS
Authorized Official - Phone:360-772-9121
Mailing Address - Street 1:613 R ST
Mailing Address - Street 2:UNIT D
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-4282
Mailing Address - Country:US
Mailing Address - Phone:360-772-9121
Mailing Address - Fax:
Practice Address - Street 1:800 OFFICERS ROW
Practice Address - Street 2:STE B
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-3847
Practice Address - Country:US
Practice Address - Phone:360-772-9121
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-27
Last Update Date:2016-09-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF 60554982106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty