Provider Demographics
NPI:1982949509
Name:FISET, JOAN CLARA (LMHC)
Entity Type:Individual
Prefix:MS
First Name:JOAN
Middle Name:CLARA
Last Name:FISET
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 1:8245 20TH AVE NE # 3
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-4407
Mailing Address - Country:US
Mailing Address - Phone:206-525-4606
Mailing Address - Fax:
Practice Address - Street 1:8245 20TH AVE NE # 3
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-4407
Practice Address - Country:US
Practice Address - Phone:206-525-4606
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-12-07
Last Update Date:2012-12-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 00004905101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health