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Individual

ALISHA ANNETTE BOLDRIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LMHC, MHP, SUDP

Contact information

Practice address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200
Mailing address
4526 FEDERAL AVE, EVERETT, WA 98203-2132
(425) 349-6200

Taxonomy

Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP60145230
WA
101YM0800X
Mental Health Counselor
Primary
LH60668566
WA

Other

Enumeration date
03/05/2014
Last updated
05/17/2022
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