Individual
KIRSTEN ROSE HALLSTROM HENEBRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PSYD
Contact information
Practice address
15214 AURORA AVE N, SHORELINE, WA 98133-6143
(206) 518-9021
(415) 252-7176
Mailing address
15214 AURORA AVE N, SHORELINE, WA 98133-6143
(206) 518-9021
(415) 252-7176
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
PY60736474
WA
Other
Enumeration date
08/15/2017
Last updated
10/17/2025
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