Provider Demographics
NPI:1568631414
Name:DRAISIN, ALISON BETH (MA, ATR-BC, LMHC)
Entity Type:Individual
Prefix:MS
First Name:ALISON
Middle Name:BETH
Last Name:DRAISIN
Suffix:
Gender:F
Credentials:MA, ATR-BC, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9018 14TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98106-2445
Mailing Address - Country:US
Mailing Address - Phone:206-420-4415
Mailing Address - Fax:206-420-4415
Practice Address - Street 1:9018 14TH AVE SW
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98106-2445
Practice Address - Country:US
Practice Address - Phone:206-420-4415
Practice Address - Fax:206-420-4415
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-25
Last Update Date:2009-02-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00011046101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health