Provider Demographics
NPI:1861944142
Name:KULA, LAUREN VALENTINE (BA, CDP)
Entity type:Individual
Prefix:
First Name:LAUREN
Middle Name:VALENTINE
Last Name:KULA
Suffix:
Gender:F
Credentials:BA, CDP
Other - Prefix:
Other - First Name:LAUREN
Other - Middle Name:VALENTINE
Other - Last Name:CHRISTENSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:26420 NE VIRGINIA ST
Mailing Address - Street 2:SUITE 2
Mailing Address - City:DUVALL
Mailing Address - State:WA
Mailing Address - Zip Code:98019-5801
Mailing Address - Country:US
Mailing Address - Phone:425-844-9669
Mailing Address - Fax:425-788-6716
Practice Address - Street 1:26420 NE VIRGINIA ST
Practice Address - Street 2:SUITE 2
Practice Address - City:DUVALL
Practice Address - State:WA
Practice Address - Zip Code:98019-5801
Practice Address - Country:US
Practice Address - Phone:425-844-9669
Practice Address - Fax:425-788-6716
Is Sole Proprietor?:No
Enumeration Date:2016-11-02
Last Update Date:2020-09-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACP 60332674101YA0400X
WACG61100461101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)