Individual
MS. ALISA ROSE WEDEMEYER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MED, LMHCA
Contact information
Practice address
5502 34TH AVE NE, SEATTLE, WA 98105-2305
(206) 420-7345
(206) 829-9678
Mailing address
3159 NE 81ST ST, SEATTLE, WA 98115-4745
(206) 356-9289
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
MC609930095
WA
Other
Enumeration date
06/22/2020
Last updated
06/22/2020
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