MEDICARE: ALPENGLOW COUNSELING & WELLNESS LLC

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	1041C0700X	Clinical Social Worker

General Provider Information

NPI Number	:	1790641322
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	ALPENGLOW COUNSELING & WELLNESS LLC

Provider Business Mailing Address
First Line	:	211 TAYLOR ST STE 32
Second Line	:
City	:	PORT TOWNSEND
State	:	WA
Zip	:	98368-5757
Country	:	US
Telephone Number	:	360-218-4490
Fax Number	:

Provider Business Practice Location Address
First Line	:	211 TAYLOR ST STE 32
Second Line	:
City	:	PORT TOWNSEND
State	:	WA
Zip	:	98368-5757
Country	:	US
Telephone Number	:	360-218-4490
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	ALANNA SHERSTAD-RAY
Credential	:	LICSW
Telephone Number	:	360-218-4490

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	12/29/2025

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