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NPI Code Detail

MEDICARE: KATHERINE ELIZABETH STEVENS MA, LMHC,

MEDICARE: KATHERINE ELIZABETH STEVENS MA, LMHC,
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorCG60488844WA
2101YM0800XMental Health CounselorLH60877626WA

General Provider Information

NPI Number : 1629443296
Entity Type Code : Individual
Provider Name (Legal Business Name) : KATHERINE ELIZABETH STEVENS MA, LMHC,
Provider Business Mailing Address
First Line : 576 E POINTES DR W
Second Line :
City : SHELTON
State : WA
Zip : 98584-9419
Country : US
Telephone Number : 425-533-3723
Fax Number :
Provider Business Practice Location Address
First Line : 500 COLUMBIA ST NW STE 102
Second Line :
City : OLYMPIA
State : WA
Zip : 98501-4447
Country : US
Telephone Number : 425-533-3723
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2015
Last Update Date : 04/05/2026

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