Healthcare Provider Details

I. General information

NPI: 1780854679
Provider Name (Legal Business Name): ALISON LESLIE SOKOLOW LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/06/2008
Last Update Date: 08/06/2021
Certification Date: 08/06/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1057 12TH AVE
LONGVIEW WA
98632-2509
US

IV. Provider business mailing address

2320 130TH AVE NE BUILDING E, SUITE 210
BELLEVUE WA
98005-2509
US

V. Phone/Fax

Practice location:
  • Phone: 360-636-3892
  • Fax: 360-414-1114
Mailing address:
  • Phone: 425-577-2513
  • Fax: 360-414-1114

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH00011347
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: