Healthcare Provider Details

I. General information

NPI: 1023526183
Provider Name (Legal Business Name): ANNE ZURINSKY LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ANNE DEWAAL LMHCA

II. Dates (important events)

Enumeration Date: 01/11/2018
Last Update Date: 01/11/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

100 2ND AVE S STE 140
EDMONDS WA
98020-8439
US

IV. Provider business mailing address

9703 216TH PL SW
EDMONDS WA
98020-3940
US

V. Phone/Fax

Practice location:
  • Phone: 206-778-2900
  • Fax:
Mailing address:
  • Phone: 206-778-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number60679027
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: