Provider Demographics
NPI:1174287742
Name:HIPPLER, BONNIE (LMHC, LPC)
Entity type:Individual
Prefix:
First Name:BONNIE
Middle Name:
Last Name:HIPPLER
Suffix:
Gender:F
Credentials:LMHC, LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1729 12TH AVE APT 114
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2492
Mailing Address - Country:US
Mailing Address - Phone:337-519-8314
Mailing Address - Fax:
Practice Address - Street 1:1729 12TH AVE APT 114
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-2492
Practice Address - Country:US
Practice Address - Phone:337-519-8314
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-10-28
Last Update Date:2021-10-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LA5030101YM0800X
WALH60792085101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health