MEDICARE: TEEASHA ALI LMHCA

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	101YM0800X	Mental Health Counselor	MC61476752	WA

General Provider Information

NPI Number	:	1174385884
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	TEEASHA ALI LMHCA

Provider Business Mailing Address
First Line	:	1316 WALL ST STE 2D
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98201-3942
Country	:	US
Telephone Number	:	425-340-3500
Fax Number	:	425-287-6398

Provider Business Practice Location Address
First Line	:	1316 WALL ST STE 2D
Second Line	:
City	:	EVERETT
State	:	WA
Zip	:	98201-3942
Country	:	US
Telephone Number	:	425-340-3500
Fax Number	:	425-287-6398

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

Provider Enumeration Date	:	01/29/2024
Last Update Date	:	06/30/2026

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Directions to “ TEEASHA ALI LMHCA” Practice Location

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