Healthcare Provider Details

I. General information

NPI: 1386979060
Provider Name (Legal Business Name): ZUBY ULA LICSW
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: ZUBAIDA ULA

II. Dates (important events)

Enumeration Date: 10/13/2009
Last Update Date: 05/01/2025
Certification Date: 05/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

101 E 8TH ST STE 110
VANCOUVER WA
98660-3294
US

IV. Provider business mailing address

101 E 8TH ST STE 110
VANCOUVER WA
98660-3294
US

V. Phone/Fax

Practice location:
  • Phone: 360-836-0931
  • Fax:
Mailing address:
  • Phone: 360-836-0931
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberSC61287511
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 3
Primary TaxonomyY
Taxonomy Code1041C0700X
TaxonomyClinical Social Worker
License Number61551850
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: