NPI 1073590634 · live from the CMS NPI Registry
Kenneth Albert Ackerman, Ph.D.
Marriage & Family Therapist in Mill Creek, WA. National Provider Identifier 1073590634, active.
NPI record
| NPI | 1073590634 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 16000 Mill Creek Blvd, Suite 211, Mill Creek, WA 98012 |
| Practice phone | 425-354-4342 |
| Enumerated | December 26, 2005 |
| Last updated | August 19, 2021 |
| Sole proprietor | Yes |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist primary | 106H00000X | LF00001287 (WA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.