| Doctor Name: | HENDRIKA MATHER |
| NPI Number: | 1154549392 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | M.S. |
| License Number: | 30002968 |
| Business Practice Address: | 421 N Pearl St Suite 209 Ellensburg, WA - 989263193 |
| Business Phone Number: | 5099257522 |
| Business Fax Number: | |
| Mailing Address: | 421 N Pearl St, Suite 209 ELLENSBURG |
| State: | WA |
| Postal Code: | 989263193 |
| Phone Number: | 5099257522 |
| Fax Number: | |
| NPI Enumeration Date: | 04/23/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | 30002968 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |