Organization
ALLIANT THERAPY GROUP
Active
Other names
Alliant Counseling
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CAROLYN RUSSO PHD (OWNER)
(425) 361-7987
Entity
Organization
Contact information
Practice address
110 MAIN ST STE 104, EDMONDS, WA 98020-3180
(425) 361-7987
Mailing address
110 MAIN ST STE 104, EDMONDS, WA 98020-3180
(425) 361-7987
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH60320548
WA
101YP2500X
Professional Counselor
—
—
261QM0801X
Mental Health Clinic/Center (Including Community Mental Health Center)
—
—
261QM0850X
Adult Mental Health Clinic/Center
—
—
Other
Enumeration date
04/05/2017
Last updated
03/10/2025
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