Provider Demographics
NPI:1669876777
Name:BARCLAY, ALAN R (BA, MA, LMFTA)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:R
Last Name:BARCLAY
Suffix:
Gender:M
Credentials:BA, MA, LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:510 S 325TH ST APT 19E
Mailing Address - Street 2:
Mailing Address - City:FEDERAL WAY
Mailing Address - State:WA
Mailing Address - Zip Code:98003-5831
Mailing Address - Country:US
Mailing Address - Phone:206-854-7349
Mailing Address - Fax:
Practice Address - Street 1:510 S 325TH ST APT 19E
Practice Address - Street 2:
Practice Address - City:FEDERAL WAY
Practice Address - State:WA
Practice Address - Zip Code:98003-5831
Practice Address - Country:US
Practice Address - Phone:206-854-7349
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-10-17
Last Update Date:2022-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60603460106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist