Provider Demographics
NPI:1972941532
Name:STRASSNER, HAILEE D (HAILEE STRASSNER)
Entity type:Individual
Prefix:MS
First Name:HAILEE
Middle Name:D
Last Name:STRASSNER
Suffix:
Gender:F
Credentials:HAILEE STRASSNER
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5555 14TH AVE NW
Mailing Address - Street 2:#504
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-3389
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:4001 OFFICE COURT DR STE 102
Practice Address - Street 2:
Practice Address - City:SANTA FE
Practice Address - State:NM
Practice Address - Zip Code:87507-4903
Practice Address - Country:US
Practice Address - Phone:505-983-8225
Practice Address - Fax:505-395-7406
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-05
Last Update Date:2018-10-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC 60337632101YM0800X
NMCMH0200041101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health