Healthcare Provider Details

I. General information

NPI: 1538602453
Provider Name (Legal Business Name): GEORGINA ZAPPONE LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/25/2016
Last Update Date: 12/15/2022
Certification Date: 12/15/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5608 17TH AVE NW STE 1179
SEATTLE WA
98107-5232
US

IV. Provider business mailing address

5608 17TH AVE NW STE 1179
SEATTLE WA
98107-5232
US

V. Phone/Fax

Practice location:
  • Phone: 425-276-1573
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number60908132
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: