| Doctor Name: | MRS. ALLYSON K STIVERS |
| NPI Number: | 1093172173 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | MC 60238456 |
| Business Practice Address: | 14418 156th Ave Ne Woodinville, WA - 980729080 |
| Business Phone Number: | 2069723562 |
| Business Fax Number: | |
| Mailing Address: | 17220 127th Pl Ne Ste 304, WOODINVILLE |
| State: | WA |
| Postal Code: | 980727965 |
| Phone Number: | 2069723562 |
| Fax Number: | |
| NPI Enumeration Date: | 01/20/2016 |
| NPI Last Update Date: | 01/20/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YM0800X |
| License Number: | MC 60238456 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Mental Health |
| Taxonomy Definition: | |