Healthcare Provider Details

I. General information

NPI: 1265152532
Provider Name (Legal Business Name): SCOTT ALAN GASSOWAY LMHCA
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/29/2022
Last Update Date: 02/17/2026
Certification Date: 02/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

135 N OLYMPIC AVE
ARLINGTON WA
98223-1335
US

IV. Provider business mailing address

135 N OLYMPIC AVE
ARLINGTON WA
98223-1335
US

V. Phone/Fax

Practice location:
  • Phone: 360-474-6262
  • Fax:
Mailing address:
  • Phone: 360-474-6262
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMC61515867
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: