Provider Demographics
NPI:1104227040
Name:BASHER, CARRIE (MA, LMHC)
Entity type:Individual
Prefix:
First Name:CARRIE
Middle Name:
Last Name:BASHER
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 1:307 N OLYMPIC AVE STE 226
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-1322
Mailing Address - Country:US
Mailing Address - Phone:425-309-8149
Mailing Address - Fax:888-972-6207
Practice Address - Street 1:307 N OLYMPIC AVE STE 226
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98223-1322
Practice Address - Country:US
Practice Address - Phone:425-309-8149
Practice Address - Fax:888-972-6207
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-10
Last Update Date:2023-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60823719101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8953513OtherLABOR AND INDUSTRIES
WA2098150Medicaid