Healthcare Provider Details

I. General information

NPI: 1801290580
Provider Name (Legal Business Name): ALISON HANNA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/09/2014
Last Update Date: 11/09/2020
Certification Date: 11/09/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9706 4TH AVE NE SUITE 303
SEATTLE WA
98115-2157
US

IV. Provider business mailing address

5306 BALLARD AVE NW STE 209
SEATTLE WA
98107-4366
US

V. Phone/Fax

Practice location:
  • Phone: 206-302-2900
  • Fax: 206-302-2210
Mailing address:
  • Phone: 206-617-8628
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60731945
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: