Individual
ALISSA KATIA LIST
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
BA, MA, CPC
Contact information
Practice address
3525 7TH AVE SW, OLYMPIA, WA 98502-5010
(360) 529-7287
Mailing address
3525 7TH AVE SW, OLYMPIA, WA 98502-5010
(360) 529-7287
Taxonomy
Speciality
Code
Description
License number
State
175T00000X
Peer Specialist
Primary
—
—
Other
Enumeration date
09/08/2023
Last updated
09/08/2023
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