Provider Demographics
NPI:1548701055
Name:KUIK, BARBARANN GABRIELLE (LMFTA, PHD-C)
Entity type:Individual
Prefix:MS
First Name:BARBARANN
Middle Name:GABRIELLE
Last Name:KUIK
Suffix:
Gender:F
Credentials:LMFTA, PHD-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15310 92ND AVE SE STE 2
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-8210
Mailing Address - Country:US
Mailing Address - Phone:719-237-1833
Mailing Address - Fax:719-237-1833
Practice Address - Street 1:15310 92ND AVE SE STE 2
Practice Address - Street 2:
Practice Address - City:YELM
Practice Address - State:WA
Practice Address - Zip Code:98597-8210
Practice Address - Country:US
Practice Address - Phone:719-237-1833
Practice Address - Fax:719-237-1833
Is Sole Proprietor?:No
Enumeration Date:2017-03-16
Last Update Date:2023-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG61401812.106H00000X
LA1305106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
WAMG61401812.OtherWASHINGTON DEPARTMENT OF HEALTH