Provider Demographics
NPI:1528116613
Name:ANDERSON, WENDY HILLAND (MA LMHC)
Entity type:Individual
Prefix:MS
First Name:WENDY
Middle Name:HILLAND
Last Name:ANDERSON
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20531 NE 181ST PL
Mailing Address - Street 2:
Mailing Address - City:WOODINVILLE
Mailing Address - State:WA
Mailing Address - Zip Code:98077-7116
Mailing Address - Country:US
Mailing Address - Phone:206-790-0162
Mailing Address - Fax:360-793-6737
Practice Address - Street 1:125 E MAIN ST
Practice Address - Street 2:STE. 203
Practice Address - City:MONROE
Practice Address - State:WA
Practice Address - Zip Code:98272-1543
Practice Address - Country:US
Practice Address - Phone:206-790-0162
Practice Address - Fax:370-793-6737
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006004101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health