Provider Demographics
NPI:1740358407
Name:HEATH, CATHERINE MARGARET
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:MARGARET
Last Name:HEATH
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3272 CALIFORNIA AVE SW STE 105
Mailing Address - Street 2:P.O. BOX 47342 SEATTLE, WA. 98146
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116
Mailing Address - Country:US
Mailing Address - Phone:206-650-2178
Mailing Address - Fax:206-762-4838
Practice Address - Street 1:3272 CALIFORNIA AVE SW STE 105
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-3375
Practice Address - Country:US
Practice Address - Phone:206-650-2178
Practice Address - Fax:206-762-4838
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-01
Last Update Date:2023-11-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP00002522101YA0400X
WALH 60160392101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8923370OtherCRIME VICTIMS COMPENSATIO