Provider Demographics
NPI:1386958619
Name:WHITLOCK, MEGHAN CRYSTAL (LMHC)
Entity type:Individual
Prefix:
First Name:MEGHAN
Middle Name:CRYSTAL
Last Name:WHITLOCK
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 1:600 N 36TH ST
Mailing Address - Street 2:SUITE 406
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98103-8697
Mailing Address - Country:US
Mailing Address - Phone:206-707-5105
Mailing Address - Fax:
Practice Address - Street 1:3417 EVANSTON AVE N STE 307
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-8967
Practice Address - Country:US
Practice Address - Phone:206-707-5105
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-07-28
Last Update Date:2022-11-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health