Provider Demographics
NPI:1942586110
Name:HILL, CLARISSA (MA, LMHCA)
Entity Type:Individual
Prefix:
First Name:CLARISSA
Middle Name:
Last Name:HILL
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23107 100TH AVE W STE 5
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-5062
Mailing Address - Country:US
Mailing Address - Phone:425-774-8049
Mailing Address - Fax:425-953-4340
Practice Address - Street 1:23107 100TH AVE W STE 5
Practice Address - Street 2:
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-5062
Practice Address - Country:US
Practice Address - Phone:425-774-8049
Practice Address - Fax:425-953-4340
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-01
Last Update Date:2011-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor