Provider Demographics
NPI:1306089941
Name:HUMMEL, KRISTIN A (MA)
Entity type:Individual
Prefix:MS
First Name:KRISTIN
Middle Name:A
Last Name:HUMMEL
Suffix:
Gender:F
Credentials:MA
Other - Prefix:MS
Other - First Name:KRISTIN
Other - Middle Name:A
Other - Last Name:HUMMEL
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MA
Mailing Address - Street 1:10360 NE 12TH ST APT A306
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-4267
Mailing Address - Country:US
Mailing Address - Phone:425-577-3365
Mailing Address - Fax:
Practice Address - Street 1:10634 E RIVERSIDE DR STE 130
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3758
Practice Address - Country:US
Practice Address - Phone:425-806-5021
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-04-13
Last Update Date:2021-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health