Healthcare Provider Details

I. General information

NPI: 1407769300
Provider Name (Legal Business Name): ALICIA RHIANN BETTGER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/23/2026
Last Update Date: 09/23/2026
Certification Date: 09/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1231 N GARDEN ST STE 200
BELLINGHAM WA
98225-5162
US

IV. Provider business mailing address

5451 TIMBER RIDGE DR
MOUNT VERNON WA
98273-6010
US

V. Phone/Fax

Practice location:
  • Phone: 360-812-0234
  • Fax:
Mailing address:
  • Phone: 425-387-8079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCA.MC.70137744
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: