Provider Demographics
NPI:1841059078
Name:SANCHEZ, KENNEDY (MA, LMHC)
Entity type:Individual
Prefix:
First Name:KENNEDY
Middle Name:
Last Name:SANCHEZ
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11400 NE 132ND ST APT D106
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-4754
Mailing Address - Country:US
Mailing Address - Phone:206-962-1451
Mailing Address - Fax:
Practice Address - Street 1:11400 NE 132ND ST APT D106
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-4754
Practice Address - Country:US
Practice Address - Phone:206-962-1451
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-03-18
Last Update Date:2024-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61519495101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health