Provider Demographics
NPI:1427514090
Name:SCHRIM, CATHLEEN COLE II
Entity type:Individual
Prefix:
First Name:CATHLEEN
Middle Name:COLE
Last Name:SCHRIM
Suffix:II
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 1:5410 N 44TH ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-3715
Mailing Address - Country:US
Mailing Address - Phone:253-759-9544
Mailing Address - Fax:
Practice Address - Street 1:1600B SW DASH POINT RD # 1267
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98023-4530
Practice Address - Country:US
Practice Address - Phone:971-704-9020
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-02-19
Last Update Date:2022-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61233433101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health