Provider Demographics
NPI:1215290259
Name:OFFNER, M. KATHERINE (MA, LMHC)
Entity type:Individual
Prefix:
First Name:M.
Middle Name:KATHERINE
Last Name:OFFNER
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:KATHY
Other - Middle Name:
Other - Last Name:OFFNER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4010 STONE WAY N
Mailing Address - Street 2:SUITE 300
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8099
Mailing Address - Country:US
Mailing Address - Phone:206-819-7031
Mailing Address - Fax:
Practice Address - Street 1:4010 STONE WAY N
Practice Address - Street 2:SUITE 300
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8099
Practice Address - Country:US
Practice Address - Phone:206-819-7031
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-06-22
Last Update Date:2012-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60262521101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health