Provider Demographics
NPI:1831426741
Name:MEJIA, ALEJANDRA (MA, LMHC)
Entity type:Individual
Prefix:
First Name:ALEJANDRA
Middle Name:
Last Name:MEJIA
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 1:2821 SW NEVADA ST
Mailing Address - Street 2:UNIT B
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98126-2597
Mailing Address - Country:US
Mailing Address - Phone:206-409-5461
Mailing Address - Fax:
Practice Address - Street 1:15811 AMBAUM BLVD SW
Practice Address - Street 2:SUITE 110
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-3066
Practice Address - Country:US
Practice Address - Phone:206-242-8211
Practice Address - Fax:206-242-0162
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-13
Last Update Date:2016-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARN60088203101Y00000X
WALH 60517980101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor