Provider Demographics
NPI:1801637392
Name:CARR, NATALIE ANN (MA)
Entity type:Individual
Prefix:
First Name:NATALIE
Middle Name:ANN
Last Name:CARR
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18727 BLUEBERRY LN APT E301
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:WA
Mailing Address - Zip Code:98272-1486
Mailing Address - Country:US
Mailing Address - Phone:724-674-3204
Mailing Address - Fax:
Practice Address - Street 1:16000 BOTHELL EVERETT HWY STE 360
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-1577
Practice Address - Country:US
Practice Address - Phone:425-357-9111
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-06-06
Last Update Date:2024-06-06
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health