Kurlis, Lina Andromeda

Kurlis, Lina Andromeda is an individual health care provider with primary practice located at 105 S Apple Blossom Dr , Chelan WA 98816-8810. 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, Student, Health Care / Student in an Organized Health Care Education/Training Program, Behavioral Health & Social Service Providers / Clinical. Behavioral Health & Social Service Providers / Clinical is her primary health care specialty. Kurlis, Lina Andromeda can be contacted via phone (509) 682-6000.

Contact Information

Primary practice address
105 S Apple Blossom Dr Chelan WA 98816-8810
Phone: (509) 682-6000
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Counselor 101Y00000X MC60950807 Washington
Behavioral Health & Social Service Providers / Mental Health 101YM0800X MC60950807 Washington
Student, Health Care / Student in an Organized Health Care Education/Training Program 390200000X
Behavioral Health & Social Service Providers / Clinical 103TC0700X PY61069944 Washington

Profile Details

NPI number 1558814012
LBN Legal business name Kurlis, Lina Andromeda
Credentials PSYD
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 1st, 2016
Last updated Jan 15th, 2021 - about 3 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 1558814012 NPPES
Washington MEDICAID 2134562

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