Provider Demographics
NPI:1164157863
Name:MCGUIRE, ALLYSSA KATHERINE (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:ALLYSSA
Middle Name:KATHERINE
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4714 NE 72ND AVE APT 164
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98661-8121
Mailing Address - Country:US
Mailing Address - Phone:248-701-3789
Mailing Address - Fax:
Practice Address - Street 1:7200 NE 41ST ST STE 100
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-7935
Practice Address - Country:US
Practice Address - Phone:360-953-3199
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-07-18
Last Update Date:2024-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMHCA.MC.61308588101YM0800X
WAMHC.LH.61498787101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health