Provider Demographics
NPI:1386070910
Name:HELENSKE, KAYLA MARIE (MA, LMHCA)
Entity type:Individual
Prefix:
First Name:KAYLA
Middle Name:MARIE
Last Name:HELENSKE
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2821 THORNDYKE AVE W
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98199-2906
Mailing Address - Country:US
Mailing Address - Phone:206-602-9776
Mailing Address - Fax:
Practice Address - Street 1:2821 THORNDYKE AVE W
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98199-2906
Practice Address - Country:US
Practice Address - Phone:206-602-9776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-09-14
Last Update Date:2013-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60398252101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health