Individual
ALISSA MARIE LOOMIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
BHT
Contact information
Practice address
5171 S CUB LAKE RD, SHOW LOW, AZ 85901-7888
(928) 235-0422
Mailing address
673 N 6TH DR, SHOW LOW, AZ 85901-4504
(928) 242-7694
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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