Provider Demographics
NPI:1568226264
Name:WINEGARDNER, ALISON RAE
Entity Type:Individual
Prefix:
First Name:ALISON
Middle Name:RAE
Last Name:WINEGARDNER
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 575
Mailing Address - Street 2:
Mailing Address - City:VASHON
Mailing Address - State:WA
Mailing Address - Zip Code:98070-0575
Mailing Address - Country:US
Mailing Address - Phone:425-301-5895
Mailing Address - Fax:
Practice Address - Street 1:28635 VASHON HWY SW
Practice Address - Street 2:
Practice Address - City:VASHON
Practice Address - State:WA
Practice Address - Zip Code:98070-8803
Practice Address - Country:US
Practice Address - Phone:425-301-5895
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-02-13
Last Update Date:2024-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health