Doctor Name: | NOZOMI KITAGAWA |
NPI Number: | 1760642219 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | LH00010979 |
Business Practice Address: | 14595 Bel Red Rd Ste 201 Bellevue, WA - 980073928 |
Business Phone Number: | 4254207605 |
Business Fax Number: | |
Mailing Address: | 8299 161st Ave Ne Ste 103, REDMOND |
State: | WA |
Postal Code: | 980523860 |
Phone Number: | 4254042422 |
Fax Number: | |
NPI Enumeration Date: | 06/09/2008 |
NPI Last Update Date: | 03/18/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | 05/26/2010 |
NPI Reactivation Date: | 04/22/2015 |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | LH00010979 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |