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1003381161 NPI number — ALYSSA MICHELLE KIRKMAN MS, EDS, LMHCA

NPI Number: 1003381161
Health Care Provider/Practitioner: ALYSSA MICHELLE KIRKMAN MS, EDS, LMHCA

Information about “1003381161” NPI (ALYSSA MICHELLE KIRKMAN MS, EDS, LMHCA) exists in 1003381161 in HTML format HTML  |  1003381161 in plain Text format TXT  |  1003381161 in PDF (Portable Document Format) PDF  |  1003381161 in an XML format XML  formats.

NPI Number : 1003381161 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1003381161",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "KIRKMAN",
    "FirstName": "ALYSSA",
    "MiddleName": "MICHELLE",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "MS, EDS, LMHCA",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "MOCK",
    "OtherFirstName": "ALYSSA",
    "OtherMiddleName": "MICHELLE",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "1823 MINOR AVE APT 1506",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "SEATTLE",
    "MailingAddressStateName": "WA",
    "MailingAddressPostalCode": "98101-0924",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "501-779-8321",
    "MailingAddressFaxNumber": null,
    "FirstLinePracticeLocationAddress": "602 VALLEY ST",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "SEATTLE",
    "PracticeLocationAddressStateName": "WA",
    "PracticeLocationAddressPostalCode": "98109-4228",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "501-779-8321",
    "PracticeLocationAddressFaxNumber": null,
    "EnumerationDate": "10/04/2018",
    "LastUpdateDate": "10/04/2018",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": {
        "TaxonomyCode": "101Y00000X",
        "TaxonomyName": "Counselor",
        "LicenseNumber": "MC60868635",
        "LicenseNumberStateCode": "WA",
        "PrimaryTaxonomySwitch": "Y"
      }
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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