MEDICARE: MS. PARKER ALYSE CAREY M.A., L.M.H.C.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LH00010413	WA

General Provider Information

NPI Number	:	1629289574
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. PARKER ALYSE CAREY M.A., L.M.H.C.

Provider Business Mailing Address
First Line	:	3206 6TH AVE NW
Second Line	:
City	:	OLYMPIA
State	:	WA
Zip	:	98502-2505
Country	:	US
Telephone Number	:	360-480-0567
Fax Number	:

Provider Business Practice Location Address
First Line	:	1751 CIRCLE LN SE
Second Line	:
City	:	LACEY
State	:	WA
Zip	:	98503-2570
Country	:	US
Telephone Number	:	360-480-0567
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/24/2007
Last Update Date	:	03/30/2012

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