Individual
ALYSA REY MICKEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LICSW
Contact information
Practice address
922 S COWLEY ST STE 9, SPOKANE, WA 99202-1263
(509) 822-6777
(509) 676-6655
Mailing address
922 S COWLEY ST STE 9, SPOKANE, WA 99202-1263
(509) 822-6777
(509) 676-6655
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
CG60797144
WA
1041C0700X
Clinical Social Worker
Primary
LW61539180
WA
390200000X
Student in an Organized Health Care Education/Training Program
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Other
Enumeration date
11/01/2018
Last updated
03/24/2025
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