# LITTLE BIRD CHILD & FAMILY THERAPY

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1619262508
- **Authorized official:** MS. KATRINA R HANAWALT MA LMFT CMHS (OWNER/PROVIDER)
- **Authorized official phone:** (360) 348-7183

## Contact information

- **Practice address:** 23634 BOTHELL EVERETT HWY, SUITE C, BOTHELL, WA 98021-9322
- **Practice address phone:** (360) 348-7183
- **Mailing address:** PO BOX 782, BOTHELL, WA 98041-0782
- **Mailing address phone:** (360) 348-7183

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 106H00000X | Marriage & Family Therapist | LF60171874 | WA | Yes |
| 106H00000X | Marriage & Family Therapist | LF60172289 | WA | — |

## Other

- **Enumeration date:** 06/18/2011
- **Last updated:** 06/18/2011