Basic Information
| Provider Information | |||||||||
| NPI: | 1063688323 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | ZUHRI | ||||||||
| FirstName: | DEKEL | ||||||||
| MiddleName: | SHARIF | ||||||||
| NamePrefix: | MR. | ||||||||
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| Credential: | M.S LMHCA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 126 SW 148TH ST | ||||||||
| Address2: | C100 PMB 460 | ||||||||
| City: | BURIEN | ||||||||
| State: | WA | ||||||||
| PostalCode: | 98166 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4259050608 | ||||||||
| FaxNumber: | 4254935801 | ||||||||
| Practice Location | |||||||||
| Address1: | 11349 5TH AVE SW | ||||||||
| Address2: | |||||||||
| City: | SEATTLE | ||||||||
| State: | WA | ||||||||
| PostalCode: | 981462209 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4259236354 | ||||||||
| FaxNumber: | 4253744337 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 05/06/2008 | ||||||||
| LastUpdateDate: | 05/24/2022 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 05/24/2022 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | MC61145694 | WA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.