Provider Demographics
NPI:1033702071
Name:MUIR, ALANNA MAY (MED, LMHCA)
Entity Type:Individual
Prefix:
First Name:ALANNA
Middle Name:MAY
Last Name:MUIR
Suffix:
Gender:F
Credentials:MED, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3124 N HUSON ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98407-4022
Mailing Address - Country:US
Mailing Address - Phone:253-365-0545
Mailing Address - Fax:
Practice Address - Street 1:3124 N HUSON ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98407-4022
Practice Address - Country:US
Practice Address - Phone:253-365-0545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-19
Last Update Date:2021-02-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61081060101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty