Provider Demographics
NPI:1568021624
Name:BONESS, ALYSON (LMHC)
Entity Type:Individual
Prefix:
First Name:ALYSON
Middle Name:
Last Name:BONESS
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 1:5700 14TH AVE NW APT 5
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-2932
Mailing Address - Country:US
Mailing Address - Phone:608-556-7297
Mailing Address - Fax:
Practice Address - Street 1:5700 14TH AVE NW APT 5
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-2932
Practice Address - Country:US
Practice Address - Phone:206-316-8717
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-06-11
Last Update Date:2022-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60959273101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health