Healthcare Provider Details

I. General information

NPI: 1194263988
Provider Name (Legal Business Name): CATHERINE HOBSON LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/01/2017
Last Update Date: 02/01/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2711 E MADISON ST STE 202
SEATTLE WA
98112-4763
US

IV. Provider business mailing address

711 N 67TH ST
SEATTLE WA
98103-5313
US

V. Phone/Fax

Practice location:
  • Phone: 206-334-5967
  • Fax:
Mailing address:
  • Phone: 206-334-5967
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00111326
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: