Basic Information
Provider Information
NPI: 1073859955
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: D'ALLEGRI
FirstName: CLAUDIA
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential:  
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: PO BOX 34703
Address2:  
City: SEATTLE
State: WA
PostalCode: 981241703
CountryCode: US
TelephoneNumber: 2067643335
FaxNumber: 2067648005
Practice Location
Address1: 1010 E COLLEGE WAY
Address2:  
City: MOUNT VERNON
State: WA
PostalCode: 982735624
CountryCode: US
TelephoneNumber: 3605428920
FaxNumber: 3605428930
Other Information
ProviderEnumerationDate: 12/20/2012
LastUpdateDate: 12/20/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
101YM0800XLH00011135WAY Behavioral Health & Social Service ProvidersCounselorMental Health

No ID Information.


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