Healthcare Provider Details

I. General information

NPI: 1881461119
Provider Name (Legal Business Name): QUINN KACI WILLIAMS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/06/2023
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2719 E MADISON ST STE 300
SEATTLE WA
98112-4752
US

IV. Provider business mailing address

2719 E MADISON ST STE 300
SEATTLE WA
98112-4752
US

V. Phone/Fax

Practice location:
  • Phone: 509-903-5546
  • Fax:
Mailing address:
  • Phone: 509-903-5546
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMG61600122
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: