Provider Demographics
NPI:1245361203
Name:HENNINGS, ALANE KAE (LMHC)
Entity type:Individual
Prefix:
First Name:ALANE
Middle Name:KAE
Last Name:HENNINGS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:832 SHARON AVE E STE C
Mailing Address - Street 2:
Mailing Address - City:MOSES LAKE
Mailing Address - State:WA
Mailing Address - Zip Code:98837-2442
Mailing Address - Country:US
Mailing Address - Phone:509-764-4164
Mailing Address - Fax:509-764-4165
Practice Address - Street 1:832 SHARON AVE E STE C
Practice Address - Street 2:
Practice Address - City:MOSES LAKE
Practice Address - State:WA
Practice Address - Zip Code:98837-2442
Practice Address - Country:US
Practice Address - Phone:509-764-4164
Practice Address - Fax:509-764-4165
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00008428101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health