Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 101Y00000X | Counselor | LH60628807 | WA |
Y | 101YM0800X | Mental Health Counselor | LH 60628807 | WA |
NPI | 1003153396 |
---|---|
Provider Name | Ms. Alison Hastings |
First Address | Bellingham, WA 98225-4648 |
Second Address | Bellingham, WA 98225 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 07/01/2013 |
Last Update Date | 08/08/2018 |