Provider Demographics
NPI:1053180919
Name:KIRMSE, TANNRE E (LMFTA)
Entity type:Individual
Prefix:
First Name:TANNRE
Middle Name:E
Last Name:KIRMSE
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1231 N GARDEN ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-5161
Mailing Address - Country:US
Mailing Address - Phone:360-734-4616
Mailing Address - Fax:360-734-1763
Practice Address - Street 1:303 POTTER ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-4924
Practice Address - Country:US
Practice Address - Phone:360-922-3600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-12-20
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
RBT-24-332189106S00000X
WAMG61593091106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No106S00000XBehavioral Health & Social Service ProvidersBehavior Technician