| Doctor Name: | SHANA RENE KENZLER OLMSTEAD |
| NPI Number: | 1295038800 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MA, LMHCA |
| License Number: | MC 60194097 |
| Business Practice Address: | 3310 E Lake Sammamish Pkwy Se #1 Sammamish, WA - 980757497 |
| Business Phone Number: | 4256778403 |
| Business Fax Number: | |
| Mailing Address: | 8237 Ne 110th Pl, KIRKLAND |
| State: | WA |
| Postal Code: | 980343546 |
| Phone Number: | 2067990936 |
| Fax Number: | |
| NPI Enumeration Date: | 12/21/2010 |
| NPI Last Update Date: | 12/21/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MC 60194097 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |