Healthcare Provider Details
I. General information
NPI: 1972215192
Provider Name (Legal Business Name): KATHRYN ANNE ZINK LMFTA, LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N
II. Dates (important events)
Enumeration Date: 12/19/2022
Last Update Date: 12/16/2025
Certification Date: 12/16/2025
Deactivation Date:
Reactivation Date:
III. Provider practice location address
420 S 72ND AVE STE 180151
YAKIMA WA
98908-1688
US
IV. Provider business mailing address
420 S 72ND AVE STE 180151
YAKIMA WA
98908-1688
US
V. Phone/Fax
- Phone: 206-222-9206
- Fax:
- Phone:
- Fax:
VI. Provider taxonomy
Scope of Practice (Provider specialty)
| # 1 | |
| Primary Taxonomy | Y |
| Taxonomy Code | 106H00000X |
| Taxonomy | Marriage & Family Therapist |
| License Number | MG61361405 |
| License Number State | WA |
| # 2 | |
| Primary Taxonomy | N |
| Taxonomy Code | 101YM0800X |
| Taxonomy | Mental Health Counselor |
| License Number | MC61379578 |
| License Number State | WA |
VIII. Authorized Official
Name:
Title or Position:
Credential:
Phone: