Provider Demographics
NPI:1154143063
Name:PIPPINGER, KATE (MFT)
Entity type:Individual
Prefix:
First Name:KATE
Middle Name:
Last Name:PIPPINGER
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18657 STATE HIGHWAY 305 NE STE 3
Mailing Address - Street 2:
Mailing Address - City:POULSBO
Mailing Address - State:WA
Mailing Address - Zip Code:98370-9184
Mailing Address - Country:US
Mailing Address - Phone:360-908-3894
Mailing Address - Fax:
Practice Address - Street 1:18657 STATE HIGHWAY 305 NE STE 3
Practice Address - Street 2:
Practice Address - City:POULSBO
Practice Address - State:WA
Practice Address - Zip Code:98370-9184
Practice Address - Country:US
Practice Address - Phone:360-908-3894
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-10-30
Last Update Date:2024-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61612359106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist