Brackebusch, Karin E.

Brackebusch, Karin E. is an sole proprietor health care provider with primary practice located at 15315 1St Ave Ne 1393, Duvall WA 98019-6339. She recently has 4 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Counselor, Behavioral Health & Social Service Providers / Mental Health, Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Brackebusch, Karin E. can be contacted via phone (206) 678-7595.

Contact Information

Primary practice address
15315 1St Ave Ne 1393 Duvall WA 98019-6339
Phone: (206) 678-7595
Fax: (206) 792-3629
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MC.60168632 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MC.60168632 Washington
Behavioral Health & Social Service Providers / Pastoral 101YP1600X MC.60168632 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X LH60531448 Washington
Behavioral Health & Social Service Providers / Professional 101YP2500X LH60531448 Washington

Profile Details

NPI number 1952614646
LBN Legal business name Brackebusch, Karin E.
Credentials LMHC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jul 22nd, 2010
Last updated Mar 31st, 2016 - about 8 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1952614646 NPPES
Washington MEDICAID 2042475

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