Healthcare Provider Details

I. General information

NPI: 1568482065
Provider Name (Legal Business Name): ANNE COHEN, M.A., LMHC, P.S.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/20/2006
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

160 CASCADE PL SUITE215
BURLINGTON WA
98233-3126
US

IV. Provider business mailing address

160 CASCADE PL SUITE215
BURLINGTON WA
98233-3126
US

V. Phone/Fax

Practice location:
  • Phone: 360-757-2322
  • Fax: 360-757-2155
Mailing address:
  • Phone: 360-757-2322
  • Fax: 360-757-2155

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00003728
License Number StateWA

VIII. Authorized Official

Name: MS. ANNE COHEN
Title or Position: PRESIDENT
Credential: MA, LMHC
Phone: 360-757-2322