Provider Demographics
NPI:1669224838
Name:HOLLINGER, SEANNA (LSWIAC)
Entity type:Individual
Prefix:
First Name:SEANNA
Middle Name:
Last Name:HOLLINGER
Suffix:
Gender:F
Credentials:LSWIAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:31376 12TH PL S
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5311
Mailing Address - Country:US
Mailing Address - Phone:425-548-5007
Mailing Address - Fax:
Practice Address - Street 1:33301 1ST WAY S STE C140
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-6252
Practice Address - Country:US
Practice Address - Phone:425-548-5007
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-04-02
Last Update Date:2024-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WASC61468677103TC1900X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TC1900XBehavioral Health & Social Service ProvidersPsychologistCounseling