Most Relevant Information
Provider Data
| NPI Number: | 1003648031 |
| Provider Name: | ALYSSA LONG |
| Entity Type: | Individual |
| Taxonomy Code: | 101Y00000X |
| Specialty: | Counselor |
| License Number: |
Most Important Dates
| Enumeration Date: | 08/19/2024 |
| Last Updated: | 08/19/2024 |
Provider Practice Location
3857 MARTIN WAY E
OLYMPIA
WA
985065268
Practice Location Phone/Fax
| Phone: | 3607047170 |
| Fax: |
Provider Mailing Location
3857 MARTIN WAY E
OLYMPIA
WA
985065268
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |