Provider Demographics
NPI:1699296269
Name:TOKOSCH, ALAN ROSS (LMHCA)
Entity type:Individual
Prefix:
First Name:ALAN
Middle Name:ROSS
Last Name:TOKOSCH
Suffix:
Gender:M
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1900 NW DOCK PL STE 4
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4846
Mailing Address - Country:US
Mailing Address - Phone:206-717-3883
Mailing Address - Fax:
Practice Address - Street 1:1900 NW DOCK PL STE 4
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98107-4846
Practice Address - Country:US
Practice Address - Phone:206-717-3883
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-04
Last Update Date:2018-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health