Healthcare Provider Details
I. General information
NPI: 1629561774
Provider Name (Legal Business Name): NATHAN HOWDEN LMHCA
Entity Type: Individual
Gender: Male
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 06/13/2018
Last Update Date: 06/13/2018
Certification Date:
Deactivation Date:
Reactivation Date:
III. Provider practice location address
19515 N CREEK PKWY STE 208
BOTHELL WA
98011-8200
US
IV. Provider business mailing address
19515 N CREEK PKWY STE 208
BOTHELL WA
98011-8200
US
V. Phone/Fax
- Phone: 425-598-8800
- Fax:
- Phone: 425-598-8800
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | |
| License Number State | |
VII. Legacy identifiers
For crosswalk purposes, the following legacy (non-NPI) identifiers are available for this provider:
| # 1 | |
| Identifier | HOWDENT133DH |
| Identifier Type | OTHER |
| Identifier State | WA |
| Identifier Issuer | WA LICENSE |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: