| Doctor Name: | MR. MICHAEL SEAN ALLRED |
| NPI Number: | 1407036817 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | |
| License Number: | RC00058773 |
| Business Practice Address: | 22015 50th Avenue Ct E Spanaway, WA - 983876001 |
| Business Phone Number: | 2537772549 |
| Business Fax Number: | |
| Mailing Address: | 22015 50th Avenue Ct E, SPANAWAY |
| State: | WA |
| Postal Code: | 983876001 |
| Phone Number: | 2537772549 |
| Fax Number: | |
| NPI Enumeration Date: | 11/14/2007 |
| NPI Last Update Date: | 01/08/2013 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | RC00058773 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | WA |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |