Provider Demographics
NPI:1891928230
Name:HANEY, KARA LYNN (LMT, (LMFTA-PENDING))
Entity type:Individual
Prefix:
First Name:KARA
Middle Name:LYNN
Last Name:HANEY
Suffix:
Gender:F
Credentials:LMT, (LMFTA-PENDING)
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9440 39TH AVE S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-5213
Mailing Address - Country:US
Mailing Address - Phone:206-375-0518
Mailing Address - Fax:
Practice Address - Street 1:18537 1ST AVE S
Practice Address - Street 2:
Practice Address - City:NORMANDY PARK
Practice Address - State:WA
Practice Address - Zip Code:98148-1888
Practice Address - Country:US
Practice Address - Phone:253-355-1014
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-02
Last Update Date:2024-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMA00024525225700000X
106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist