MEDICARE: ALEXIS CHRISTINA HAHS SUDP

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CP61299330	WA
2	101YM0800X	Mental Health Counselor	MC70041488	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MC70041488	OTHER	WA	LMHCA
2	CP61299330	OTHER	WA	SUBSTANCE USE DISORDER PROFESSIONAL CERTIFICATION

General Provider Information

NPI Number	:	1063018737
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	ALEXIS CHRISTINA HAHS SUDP

Provider Business Mailing Address
First Line	:	515 LAKEWAY DR
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-5233
Country	:	US
Telephone Number	:	360-676-2164
Fax Number	:

Provider Business Practice Location Address
First Line	:	1211 GIRARD ST
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-3219
Country	:	US
Telephone Number	:	360-605-2016
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/08/2020
Last Update Date	:	12/18/2025

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