Provider Demographics
NPI:1912303298
Name:WHITE, ALLISON ELIZABETH (LMFTA)
Entity Type:Individual
Prefix:MS
First Name:ALLISON
Middle Name:ELIZABETH
Last Name:WHITE
Suffix:
Gender:F
Credentials:LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:24213 15TH PL SE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-8875
Mailing Address - Country:US
Mailing Address - Phone:425-773-2979
Mailing Address - Fax:
Practice Address - Street 1:15419 NE 20TH ST
Practice Address - Street 2:SUITE 103
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3800
Practice Address - Country:US
Practice Address - Phone:253-259-4787
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-13
Last Update Date:2014-11-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG60507118106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist