Provider Demographics
NPI:1578809786
Name:SOTO, ALINA G (ND, LMHCA, RHT)
Entity Type:Individual
Prefix:DR
First Name:ALINA
Middle Name:G
Last Name:SOTO
Suffix:
Gender:F
Credentials:ND, LMHCA, RHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12544 37TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-4655
Mailing Address - Country:US
Mailing Address - Phone:206-867-4547
Mailing Address - Fax:
Practice Address - Street 1:12544 37TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-4655
Practice Address - Country:US
Practice Address - Phone:206-867-4547
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-14
Last Update Date:2023-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60939101101YM0800X
WANT61109144175F00000X
WA175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MS6243757OtherDEA REGISTRATION NUMBER