MEDICARE: KARI ANN MATHES LMFTA

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	106H00000X	Marriage & Family Therapist	MFTA.MG.70024612	WA

General Provider Information

NPI Number	:	1134009665
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KARI ANN MATHES LMFTA

Provider Business Mailing Address
First Line	:	5612 112TH ST E APT C
Second Line	:
City	:	PUYALLUP
State	:	WA
Zip	:	98373-3211
Country	:	US
Telephone Number	:	912-596-8779
Fax Number	:

Provider Business Practice Location Address
First Line	:	5612 112TH ST E APT C
Second Line	:
City	:	PUYALLUP
State	:	WA
Zip	:	98373-3211
Country	:	US
Telephone Number	:	912-596-8779
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/04/2025
Last Update Date	:	12/15/2025

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Directions to “ KARI ANN MATHES LMFTA” Practice Location

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