Provider Demographics
NPI:1740476431
Name:TAIFOUR, KARIN ELIZABETH EDLUND (LMHC)
Entity type:Individual
Prefix:
First Name:KARIN
Middle Name:ELIZABETH EDLUND
Last Name:TAIFOUR
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 27612
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98165-2612
Mailing Address - Country:US
Mailing Address - Phone:206-930-5316
Mailing Address - Fax:206-322-7621
Practice Address - Street 1:115 15TH AVE E
Practice Address - Street 2:SUITE 201 AMHP
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98112-5614
Practice Address - Country:US
Practice Address - Phone:206-322-5258
Practice Address - Fax:206-322-7621
Is Sole Proprietor?:No
Enumeration Date:2007-09-17
Last Update Date:2007-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA10799101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health