Healthcare Provider Details

I. General information

NPI: 1669755641
Provider Name (Legal Business Name): KATHLEEN DELL BREWER MS, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/26/2011
Last Update Date: 04/17/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4800 SAND POINT WAY NE MAILSTOP OA.5.154
SEATTLE WA
98105-3901
US

IV. Provider business mailing address

4800 SAND POINT WAY NE MAILSTOP OA.5.154
SEATTLE WA
98105-3901
US

V. Phone/Fax

Practice location:
  • Phone: 206-987-1665
  • Fax: 206-987-2246
Mailing address:
  • Phone: 206-987-1665
  • Fax: 206-987-2246

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00006036
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: