Healthcare Provider Details

I. General information

NPI: 1538294467
Provider Name (Legal Business Name): KIM T BUEHLMAN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/22/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1812 E MADISON ST SUITE #206
SEATTLE WA
98122-2843
US

IV. Provider business mailing address

1812 E MADISON ST SUITE #206
SEATTLE WA
98122-2843
US

V. Phone/Fax

Practice location:
  • Phone: 206-325-9551
  • Fax: 206-322-5070
Mailing address:
  • Phone: 206-325-9551
  • Fax: 206-322-5070

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00004029
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: