Provider Demographics
NPI:1881097897
Name:SHERMAN, KATE
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:SHERMAN
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 1:725 R ST NE
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-4607
Mailing Address - Country:US
Mailing Address - Phone:206-265-0308
Mailing Address - Fax:206-759-2512
Practice Address - Street 1:725 R ST NE
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-4607
Practice Address - Country:US
Practice Address - Phone:206-265-0308
Practice Address - Fax:206-759-2512
Is Sole Proprietor?:No
Enumeration Date:2014-10-03
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60758977101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health