Healthcare Provider Details

I. General information

NPI: 1154573111
Provider Name (Legal Business Name): CHRISTOPHER ANDREW BURKLAND LMHC, CDP
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/21/2008
Last Update Date: 02/11/2025
Certification Date: 02/11/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8275 166TH AVE NE STE 200
REDMOND WA
98052-6629
US

IV. Provider business mailing address

1400 112TH AVE SE STE 100
BELLEVUE WA
98004-6901
US

V. Phone/Fax

Practice location:
  • Phone: 425-869-2644
  • Fax: 425-867-0930
Mailing address:
  • Phone: 206-910-6402
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberRC60045670
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60198099
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: