Healthcare Provider Details

I. General information

NPI: 1407036817
Provider Name (Legal Business Name): MICHAEL SEAN ALLRED MFT
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/14/2007
Last Update Date: 12/15/2025
Certification Date: 12/15/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18109 28TH AVE E
TACOMA WA
98445-4354
US

IV. Provider business mailing address

18109 28TH AVE E
TACOMA WA
98445-4354
US

V. Phone/Fax

Practice location:
  • Phone: 253-777-2549
  • Fax:
Mailing address:
  • Phone: 253-777-2549
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberRC00058773
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMG60192498
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: