Provider Demographics
NPI:1548977218
Name:BJORKLUND, KRISTIN JUNE
Entity type:Individual
Prefix:MRS
First Name:KRISTIN
Middle Name:JUNE
Last Name:BJORKLUND
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 1355
Mailing Address - Street 2:
Mailing Address - City:YELM
Mailing Address - State:WA
Mailing Address - Zip Code:98597-1355
Mailing Address - Country:US
Mailing Address - Phone:971-801-0587
Mailing Address - Fax:
Practice Address - Street 1:313 YELM AVE W
Practice Address - Street 2:
Practice Address - City:YELM
Practice Address - State:WA
Practice Address - Zip Code:98597-8036
Practice Address - Country:US
Practice Address - Phone:971-801-0587
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-11-02
Last Update Date:2024-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61336414101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health