Provider Demographics
NPI:1104199371
Name:LIVAUDAIS, CATHERINE ESNOULD (MSW)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ESNOULD
Last Name:LIVAUDAIS
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:914 N PINE ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98406-6736
Mailing Address - Country:US
Mailing Address - Phone:253-693-0306
Mailing Address - Fax:
Practice Address - Street 1:914 N PINE ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98406-6736
Practice Address - Country:US
Practice Address - Phone:253-693-0306
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-17
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1041C0700X
WACG60421416101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical
No101Y00000XBehavioral Health & Social Service ProvidersCounselor