Provider Demographics
NPI:1316463631
Name:DECHAIRO AHERN, KRISTI MARIE
Entity type:Individual
Prefix:MRS
First Name:KRISTI
Middle Name:MARIE
Last Name:DECHAIRO AHERN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20321 NE 34TH CT
Mailing Address - Street 2:
Mailing Address - City:SAMMAMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98074-4319
Mailing Address - Country:US
Mailing Address - Phone:425-503-5656
Mailing Address - Fax:
Practice Address - Street 1:19703 68TH AVE W
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-4517
Practice Address - Country:US
Practice Address - Phone:425-412-2360
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-08-17
Last Update Date:2017-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health