MEDICARE: KATHLEEN H ALLEN MA, LMHC

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	101YM0800X	Mental Health Counselor	LH60146925	WA

General Provider Information

NPI Number	:	1275823999
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KATHLEEN H ALLEN MA, LMHC

Provider Business Mailing Address
First Line	:	7301 BAINBRIDGE PL SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-2005
Country	:	US
Telephone Number	:	206-650-7449
Fax Number	:

Provider Business Practice Location Address
First Line	:	7301 BAINBRIDGE PL SW
Second Line	:
City	:	SEATTLE
State	:	WA
Zip	:	98136-2005
Country	:	US
Telephone Number	:	206-650-7449
Fax Number	:

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

Provider Enumeration Date	:	04/14/2011
Last Update Date	:	04/14/2011

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