Provider Demographics
NPI:1104377688
Name:NUNEZ, ALEJANDRA (LMHC)
Entity Type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:
Last Name:NUNEZ
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:SANDRA
Other - Middle Name:
Other - Last Name:NUNEZ
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LMHC
Mailing Address - Street 1:5000 FAUNTLEROY WAY SW APT 302
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1254
Mailing Address - Country:US
Mailing Address - Phone:206-604-8281
Mailing Address - Fax:
Practice Address - Street 1:5000 FAUNTLEROY WAY SW APT 302
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1254
Practice Address - Country:US
Practice Address - Phone:206-717-3088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-10-19
Last Update Date:2020-09-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60628786101Y00000X
WALH60875557101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor