Healthcare Provider Details

I. General information

NPI: 1962704320
Provider Name (Legal Business Name): KATIE L WILLIAMS PH.D., LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/17/2010
Last Update Date: 05/02/2026
Certification Date: 05/02/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

277 HOUSE RD
SEQUIM WA
98382-8848
US

IV. Provider business mailing address

PO BOX 1691
SEQUIM WA
98382-4328
US

V. Phone/Fax

Practice location:
  • Phone: 360-351-4400
  • Fax:
Mailing address:
  • Phone: 360-351-4400
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60393652
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: