Provider Demographics
NPI:1588879076
Name:O'SHEA, ALEXANDRIA (MA)
Entity type:Individual
Prefix:MS
First Name:ALEXANDRIA
Middle Name:
Last Name:O'SHEA
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6920 ROOSEVELT WAY NE
Mailing Address - Street 2:SUITE 146
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-6635
Mailing Address - Country:US
Mailing Address - Phone:206-729-7284
Mailing Address - Fax:
Practice Address - Street 1:1818 WESTLAKE AVE N
Practice Address - Street 2:SUITE 316
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98109-2777
Practice Address - Country:US
Practice Address - Phone:206-729-7284
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006037101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health