Provider Demographics
NPI:1669539441
Name:ONNO, K ALEXANDRA (PHD, LMHC)
Entity type:Individual
Prefix:DR
First Name:K ALEXANDRA
Middle Name:
Last Name:ONNO
Suffix:
Gender:F
Credentials:PHD, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1624 RUCKER AVE
Mailing Address - Street 2:
Mailing Address - City:EVERETT
Mailing Address - State:WA
Mailing Address - Zip Code:98201-2014
Mailing Address - Country:US
Mailing Address - Phone:206-949-4520
Mailing Address - Fax:206-542-1808
Practice Address - Street 1:1160 N 198TH ST
Practice Address - Street 2:# H 302
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98133-3627
Practice Address - Country:US
Practice Address - Phone:206-546-5905
Practice Address - Fax:206-542-1808
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-02
Last Update Date:2011-08-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA602540463101YA0400X, 101YM0800X, 106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist