Individual
MRS. ALYSSA MICHELLE KIRKMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, EDS, LMHCA
Contact information
Practice address
602 VALLEY ST, SEATTLE, WA 98109-4228
(501) 779-8321
Mailing address
1823 MINOR AVE APT 1506, SEATTLE, WA 98101-0924
(501) 779-8321
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC60868635
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
604335707
WASHINGTON SECRETARY OF STATE
WA
01
—
MC6086835
WASHINGTON DEPARTMENT OF HEALTH
—
Enumeration date
10/04/2018
Last updated
10/04/2018
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