Provider Demographics
NPI:1437317161
Name:MEIER, KATRINA ILENE (LICSAW)
Entity type:Individual
Prefix:MRS
First Name:KATRINA
Middle Name:ILENE
Last Name:MEIER
Suffix:
Gender:F
Credentials:LICSAW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:109 ALEXANDER DR
Mailing Address - Street 2:
Mailing Address - City:CHEHALIS
Mailing Address - State:WA
Mailing Address - Zip Code:98532-9602
Mailing Address - Country:US
Mailing Address - Phone:360-880-2449
Mailing Address - Fax:360-736-1093
Practice Address - Street 1:625 S DIAMOND ST
Practice Address - Street 2:
Practice Address - City:CENTRALIA
Practice Address - State:WA
Practice Address - Zip Code:98531-3817
Practice Address - Country:US
Practice Address - Phone:360-736-5460
Practice Address - Fax:360-736-1093
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-29
Last Update Date:2018-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602-822-3521041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical