Provider Demographics
NPI:1124891742
Name:REFLECTIONS COUNSELING AND EQUINE ASSISTED PSYCHOTHERAPY
Entity type:Organization
Organization Name:REFLECTIONS COUNSELING AND EQUINE ASSISTED PSYCHOTHERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:KATHLEEN
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:HITTNER-MCCONAHY
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:209-559-5191
Mailing Address - Street 1:25410 NE 29TH AVE
Mailing Address - Street 2:
Mailing Address - City:RIDGEFIELD
Mailing Address - State:WA
Mailing Address - Zip Code:98642-9438
Mailing Address - Country:US
Mailing Address - Phone:209-559-5191
Mailing Address - Fax:
Practice Address - Street 1:25410 NE 29TH AVE
Practice Address - Street 2:
Practice Address - City:RIDGEFIELD
Practice Address - State:WA
Practice Address - Zip Code:98642-9438
Practice Address - Country:US
Practice Address - Phone:209-559-5191
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty