Provider Demographics
NPI:1326706367
Name:FISHER, ALLISON (LMHCA, ATR-P)
Entity Type:Individual
Prefix:
First Name:ALLISON
Middle Name:
Last Name:FISHER
Suffix:
Gender:F
Credentials:LMHCA, ATR-P
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2017 204TH ST SW
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-7028
Mailing Address - Country:US
Mailing Address - Phone:540-718-0389
Mailing Address - Fax:
Practice Address - Street 1:2017 204TH ST SW
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036
Practice Address - Country:US
Practice Address - Phone:253-201-2436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-12-07
Last Update Date:2024-03-13
Deactivation Date:2023-11-16
Deactivation Code:
Reactivation Date:2024-03-08
Provider Licenses
StateLicense IDTaxonomies
WA390200000X
WAMC61419154101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program