Individual
ALISA CAMILLE EMERICK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
16203 88TH AVE E, PUYALLUP, WA 98375-6299
(253) 209-5812
Mailing address
16203 88TH AVE E, PUYALLUP, WA 98375-6299
(253) 209-5812
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MHCA.MC.61282553
WA
Other
Enumeration date
04/18/2022
Last updated
04/18/2022
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