Organization
MARISSA OHLSTROM, PSYD, PLLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MARISSA OHLSTROM PSYD (PROVIDER/SOLE OWNER)
(206) 531-4548
Entity
Organization
Contact information
Practice address
4860 RAINIER AVENUE S STE C, SEATTLE, WA 98118
(206) 531-4548
Mailing address
3518 FREMONT AVE N # 325, SEATTLE, WA 98103-8814
(206) 531-4548
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
Other
Enumeration date
10/03/2022
Last updated
10/26/2022
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