Provider Demographics
NPI:1023267275
Name:HUKIC, ANISA (PSYD, LMHC)
Entity type:Individual
Prefix:DR
First Name:ANISA
Middle Name:
Last Name:HUKIC
Suffix:
Gender:F
Credentials:PSYD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5224 WILSON AVE S. STE. 202
Mailing Address - Street 2:FOR A CHILD, LLC
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98118-2587
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:5224 WILSON AVE. S., STE. 202
Practice Address - Street 2:FOR A CHILD, LLC
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98118-2735
Practice Address - Country:US
Practice Address - Phone:206-725-1820
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-11
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60167045101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health