Provider Demographics
NPI:1912888611
Name:YANG, LOIS AHREUM
Entity type:Individual
Prefix:
First Name:LOIS
Middle Name:AHREUM
Last Name:YANG
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:AHREUM
Other - Middle Name:
Other - Last Name:KIM
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:4030 LAKE WASHINGTON BLVD NE STE 201
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98033-7870
Mailing Address - Country:US
Mailing Address - Phone:206-414-8918
Mailing Address - Fax:206-260-4280
Practice Address - Street 1:4030 LAKE WASHINGTON BLVD NE STE 201
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-7870
Practice Address - Country:US
Practice Address - Phone:206-414-8918
Practice Address - Fax:206-260-4280
Is Sole Proprietor?:No
Enumeration Date:2025-09-09
Last Update Date:2025-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist