Provider Demographics
NPI:1588711816
Name:HIRNLE, BETH ERICA (LMHC, NCC)
Entity type:Individual
Prefix:
First Name:BETH
Middle Name:ERICA
Last Name:HIRNLE
Suffix:
Gender:F
Credentials:LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6020 111TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-7219
Mailing Address - Country:US
Mailing Address - Phone:425-443-9893
Mailing Address - Fax:
Practice Address - Street 1:10512 NE 68TH ST
Practice Address - Street 2:C-202
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7002
Practice Address - Country:US
Practice Address - Phone:425-443-9893
Practice Address - Fax:425-822-3214
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-05
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006655101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health