Provider Demographics
NPI:1467934059
Name:SWANK, ALISSA (LMHC)
Entity Type:Individual
Prefix:
First Name:ALISSA
Middle Name:
Last Name:SWANK
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2526 KULSHAN ST
Mailing Address - Street 2:
Mailing Address - City:BELLINGHAM
Mailing Address - State:WA
Mailing Address - Zip Code:98225-2737
Mailing Address - Country:US
Mailing Address - Phone:360-230-8355
Mailing Address - Fax:
Practice Address - Street 1:2526 KULSHAN ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-2737
Practice Address - Country:US
Practice Address - Phone:360-230-8355
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2018-08-30
Last Update Date:2024-01-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty