Provider Demographics
NPI:1063535896
Name:KEHLHOFER, AUREZOO (LMFT)
Entity type:Individual
Prefix:MRS
First Name:AUREZOO
Middle Name:
Last Name:KEHLHOFER
Suffix:
Gender:F
Credentials:LMFT
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 10621
Mailing Address - Street 2:
Mailing Address - City:BAINBRIDGE ISLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98110-0621
Mailing Address - Country:US
Mailing Address - Phone:206-384-3072
Mailing Address - Fax:
Practice Address - Street 1:1200 6TH AVE
Practice Address - Street 2:SUITE 2001
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98101-3123
Practice Address - Country:US
Practice Address - Phone:206-384-3072
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF00002333106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist