Provider Demographics
NPI:1619540523
Name:TAPPER, ALICE LAFAYE (MA LMHC-A)
Entity Type:Individual
Prefix:MRS
First Name:ALICE
Middle Name:LAFAYE
Last Name:TAPPER
Suffix:
Gender:F
Credentials:MA LMHC-A
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 284
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98223-0284
Mailing Address - Country:US
Mailing Address - Phone:425-345-9017
Mailing Address - Fax:
Practice Address - Street 1:4800 DOGWOOD DR
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-2035
Practice Address - Country:US
Practice Address - Phone:425-345-9017
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-19
Last Update Date:2021-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61167763101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health