Provider Demographics
NPI:1871294389
Name:ADAMS, ALEEN MUNDY (LMHCA)
Entity type:Individual
Prefix:
First Name:ALEEN
Middle Name:MUNDY
Last Name:ADAMS
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22722 29TH DR SE STE 100
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-4420
Mailing Address - Country:US
Mailing Address - Phone:206-607-2570
Mailing Address - Fax:206-826-1815
Practice Address - Street 1:6525 GREENWOOD AVE N
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5223
Practice Address - Country:US
Practice Address - Phone:206-499-5045
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-13
Last Update Date:2023-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61282093101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health