Provider Demographics
NPI:1205171279
Name:AKIN, KRYSTAL DANIELLE (MED LMHC)
Entity type:Individual
Prefix:
First Name:KRYSTAL
Middle Name:DANIELLE
Last Name:AKIN
Suffix:
Gender:F
Credentials:MED LMHC
Other - Prefix:
Other - First Name:KRYSTAL
Other - Middle Name:DANIELLE
Other - Last Name:FARNHAM-MUCHOW
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MED LMHC
Mailing Address - Street 1:33442 1ST WAY S
Mailing Address - Street 2:STE 101
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003
Mailing Address - Country:US
Mailing Address - Phone:206-470-9842
Mailing Address - Fax:206-826-9203
Practice Address - Street 1:33442 1ST WAY S
Practice Address - Street 2:STE 101
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003
Practice Address - Country:US
Practice Address - Phone:206-470-9842
Practice Address - Fax:206-826-9203
Is Sole Proprietor?:No
Enumeration Date:2012-12-03
Last Update Date:2016-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO60317678101YA0400X
WAMC60298923101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)