# MARISSA OHLSTROM, PSYD, PLLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1053035105
- **Authorized official:** DR. MARISSA OHLSTROM PSYD (PROVIDER/SOLE OWNER)
- **Authorized official phone:** (206) 531-4548

## Contact information

- **Practice address:** 4860 RAINIER AVENUE S STE C, SEATTLE, WA 98118
- **Practice address phone:** (206) 531-4548
- **Mailing address:** 3518 FREMONT AVE N \# 325, SEATTLE, WA 98103-8814
- **Mailing address phone:** (206) 531-4548

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 103T00000X | Psychologist | — | NULL | Yes |
| 103T00000X | Psychologist | — | — | Yes |
| 261QM0801X | Mental Health Clinic/Center (Including Community Mental Health Center) | — | NULL | — |

## Other

- **Enumeration date:** 10/03/2022
- **Last updated:** 10/26/2022