Provider Demographics
NPI:1588197628
Name:ALLIANT COUNSELING
Entity Type:Organization
Organization Name:ALLIANT COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:CAROLYN
Authorized Official - Middle Name:A
Authorized Official - Last Name:RUSSO
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC
Authorized Official - Phone:206-658-3920
Mailing Address - Street 1:200 1ST AVE W
Mailing Address - Street 2:SUITE #400
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-4298
Mailing Address - Country:US
Mailing Address - Phone:206-658-3920
Mailing Address - Fax:
Practice Address - Street 1:200 1ST AVE W
Practice Address - Street 2:SUITE #400
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-4298
Practice Address - Country:US
Practice Address - Phone:206-658-3920
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-05
Last Update Date:2017-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60320548101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty