Provider Demographics
NPI:1154805075
Name:LIN, KAREN SLATER (LMHC)
Entity type:Individual
Prefix:
First Name:KAREN
Middle Name:SLATER
Last Name:LIN
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 2983
Mailing Address - Street 2:
Mailing Address - City:RENTON
Mailing Address - State:WA
Mailing Address - Zip Code:98056-0983
Mailing Address - Country:US
Mailing Address - Phone:425-442-3365
Mailing Address - Fax:
Practice Address - Street 1:13603 196TH AVE SE
Practice Address - Street 2:
Practice Address - City:RENTON
Practice Address - State:WA
Practice Address - Zip Code:98059-7837
Practice Address - Country:US
Practice Address - Phone:425-292-5521
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-09-17
Last Update Date:2024-09-09
Deactivation Date:2019-10-07
Deactivation Code:
Reactivation Date:2019-11-27
Provider Licenses
StateLicense IDTaxonomies
WAMC60992179101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health