Provider Demographics
NPI:1063240539
Name:O'BRIEN, AISHLEEN (MFTA)
Entity type:Individual
Prefix:
First Name:AISHLEEN
Middle Name:
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:415 1ST AVE N UNIT 9541
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-4592
Mailing Address - Country:US
Mailing Address - Phone:206-672-0817
Mailing Address - Fax:
Practice Address - Street 1:322 N 71ST ST
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98103-5020
Practice Address - Country:US
Practice Address - Phone:206-672-0817
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-07-25
Last Update Date:2024-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMG61572152106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist