Provider Demographics
NPI:1417310699
Name:KUIPERS-DAWSON, PATRICIA (LMHC, LICSWA)
Entity type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:KUIPERS-DAWSON
Suffix:
Gender:F
Credentials:LMHC, LICSWA
Other - Prefix:
Other - First Name:PATRICIA
Other - Middle Name:
Other - Last Name:HANCOCK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:3305 MAIN ST
Mailing Address - Street 2:SUITE 009
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663
Mailing Address - Country:US
Mailing Address - Phone:360-241-9357
Mailing Address - Fax:
Practice Address - Street 1:1498 SE TECH CENTER PL STE 300&130
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98683-9591
Practice Address - Country:US
Practice Address - Phone:360-619-2226
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-04-04
Last Update Date:2025-02-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG60648871101YM0800X
WALH61463342101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health