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NPI Code Detail

MEDICARE: MS. YASMINA MOBAREK LMHC

MEDICARE: MS. YASMINA MOBAREK LMHC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YM0800XMental Health CounselorLH60567485WA

General Provider Information

NPI Number : 1104213891
Entity Type Code : Individual
Provider Name (Legal Business Name) : MS. YASMINA MOBAREK LMHC
Provider Business Mailing Address
First Line : 510 N 40TH ST
Second Line :
City : SEATTLE
State : WA
Zip : 98103-7715
Country : US
Telephone Number : 206-458-3102
Fax Number :
Provider Business Practice Location Address
First Line : 219 1ST AVE S STE 405
Second Line :
City : SEATTLE
State : WA
Zip : 98104-2551
Country : US
Telephone Number : 206-458-3102
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/20/2015
Last Update Date : 05/05/2020

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