Provider Demographics
NPI:1629289574
Name:CAREY, PARKER ALYSE (MA, LMHC)
Entity Type:Individual
Prefix:MS
First Name:PARKER
Middle Name:ALYSE
Last Name:CAREY
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3206 6TH AVE NW
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-2505
Mailing Address - Country:US
Mailing Address - Phone:360-480-0567
Mailing Address - Fax:
Practice Address - Street 1:1751 CIRCLE LN SE
Practice Address - Street 2:
Practice Address - City:LACEY
Practice Address - State:WA
Practice Address - Zip Code:98503-2570
Practice Address - Country:US
Practice Address - Phone:360-480-0567
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-24
Last Update Date:2012-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010413101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health