Provider Demographics
NPI:1902678816
Name:WU, CHRISTY L (LMHCA)
Entity Type:Individual
Prefix:
First Name:CHRISTY
Middle Name:L
Last Name:WU
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:842 NE 120TH ST
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-4940
Mailing Address - Country:US
Mailing Address - Phone:206-604-3290
Mailing Address - Fax:
Practice Address - Street 1:6827 OSWEGO PL NE STE B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-8447
Practice Address - Country:US
Practice Address - Phone:206-604-3290
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-24
Last Update Date:2023-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61484516101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional