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Individual

ALISSA ANDREA MORTENSON TYKA

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MA, LMHCA

Contact information

Practice address
2763 152ND AVE NE, BUILDING 4A, REDMOND, WA 98052-5555
(425) 628-2763
Mailing address
910 17TH AVE E, SEATTLE, WA 98112-3924
(206) 218-8860

Taxonomy

Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC 60644454
WA

Other

Enumeration date
04/04/2016
Last updated
04/04/2016
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