MS. KRISTINE CANDOO (NPI# 1336501394) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336501394 |
| Entity Type | Individual |
| Full Name | MS. KRISTINE CANDOO |
| Other Name | MS. TINA CANDOO |
| Credential | LMHC |
| Practice Address |
1700 Nw Gilman Boulevard Suite 200 Issaquah WA 98027-2161 |
| Mailing Address |
1700 Nw Gilman Boulevard Suite 200 Issaquah WA 98027 |
| Practice Telephone | 4256815512 |
| Mailing Telephone | 4256815512 |
| Enumeration Date | 2016-03-28 |
| Last Update Date | 2016-08-11 |
| Gender Code | F |
| Is Sole Proprietor | Y |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 101YM0800X |
Counselor Specialization: Mental Health |
LH 60624586 | WA | Behavioral Health & Social Service Providers |
| Street Address |
1700 NW GILMAN BOULEVARD SUITE 200 |
| City | ISSAQUAH |
| State | WA |
| Zip Code | 98027-2161 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1780281840 | Cascade Hand & Orthopedic Rehab, Inc. | Clinic/Center | 1301 4th Avenue Nw, Suite 200, Issaquah, WA 98027 | 2020-10-01 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1891338604 | Amy Mezulis | Psychologist | 1740 Nw Maple St. #210, Issaquah, WA 98027 | 2019-10-24 |
| 1578055083 | Vivian Yu-en Hsiao | Physical Therapist | 1301 4th Ave Nw Ste 300, Issaquah, WA 98027 | 2018-05-31 |
| 1831698000 | Peter James Carlson | Physical Therapist | 22500 Se 64th Place, Building G, Suite 115, Issaquah, WA 98027 | 2018-02-02 |
| 1902323553 | David Robert Primrose | Dentist | 600 Nw Gilman Blvd Ste B, Issaquah, WA 98027 | 2017-08-24 |
| 1083135446 | Tara Rose | Massage Therapist | 680 Nw Gilman Blvd., Ste. A, Issaquah, WA 98027 | 2017-07-06 |
| 1295276194 | Amy Davenport | Occupational Therapist | 1871 Nw Gilman Blvd #2, Issaquah, WA 98027 | 2017-03-13 |
| 1942751771 | Krista L Gibbons | Counselor | 1700 Nw Blvd, Suite #200, Issaquah, WA 98027 | 2016-10-17 |
| 1376903237 | Kari Wathen Torres | Occupational Therapist | 710 Nw Juniper St Ste 100, Issaquah, WA 98027 | 2016-03-03 |
| Find all providers in zip 98027 | ||||
| Taxonomy Code | 101YM0800X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Counselor |
| Specialization | Mental Health |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1134730161 | Katelyn Creech | Counselor | 1505 16th Lane Ne, Apt 404 Building O, Issaquah, WA 98029 | 2020-08-13 |
| 1700494630 | Genevieve S Ward | Counselor | 22500 Se 64th Place, Building G, Suite 150, Issaquah, WA 98027 | 2020-07-16 |
| 1124651633 | John E Burgess | Counselor | 22525 Se 64th Pl Ste 2038, Issaquah, WA 98027-5383 | 2020-02-13 |
| 1326601923 | Esperanza Ivonne Garibay Vazquez | Counselor | 2149 Shy Bear Way Nw Apt 304, Issaquah, WA 98027-5628 | 2019-04-18 |
| 1699282350 | Ashley Sweigart | Counselor | 1700 Nw Gilman Blvd Ste 200, Issaquah, WA 98027-5364 | 2018-01-03 |
| 1417477027 | Deborah Singer | Counselor | 930 Ne High St Ste 101, Issaquah, WA 98029-7417 | 2017-06-23 |
| 1427593607 | Dylan Rose Carr | Counselor | 340 W Sunset Way Apt C203, Issaquah, WA 98027-3163 | 2016-12-27 |
| 1013466929 | Jenna Olafson | Counselor | 414 Front St. N, Issaquah, WA 98366 | 2016-10-04 |
| 1184071185 | Jennifer Johnson | Counselor | 1126 Ne Park Dr, Issaquah, WA 98029-7410 | 2016-05-19 |
| 1669858411 | Daniel Ogilvie | Counselor | 200 Mt. Si Place Nw, Issaquah, WA 98027 | 2015-08-04 |
| Find all providers in ISSAQUAH | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.