Provider Demographics
NPI:1720842081
Name:BUCKLEY, CATHERINE (MS, LMFT-ASSOCIATE)
Entity Type:Individual
Prefix:
First Name:CATHERINE
Middle Name:
Last Name:BUCKLEY
Suffix:
Gender:F
Credentials:MS, LMFT-ASSOCIATE
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1200 WESTLAKE AVE N STE 407
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-3528
Mailing Address - Country:US
Mailing Address - Phone:206-569-8267
Mailing Address - Fax:
Practice Address - Street 1:1931 6TH AVE W
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-2811
Practice Address - Country:US
Practice Address - Phone:806-239-2273
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-07
Last Update Date:2024-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG61356619106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist