Provider Demographics
NPI:1154431054
Name:REDMAN, NINA KATHRYN (LICENSED MENTAL HEAL)
Entity type:Individual
Prefix:MS
First Name:NINA
Middle Name:KATHRYN
Last Name:REDMAN
Suffix:
Gender:F
Credentials:LICENSED MENTAL HEAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2033 MINOR AVE EAST
Mailing Address - Street 2:SUITE 1
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98102-3500
Mailing Address - Country:US
Mailing Address - Phone:206-322-1244
Mailing Address - Fax:
Practice Address - Street 1:2033 MINOR AVE EAST
Practice Address - Street 2:SUITE 1
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3500
Practice Address - Country:US
Practice Address - Phone:206-322-1244
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00004027101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor