MEDICARE: MS. MICHELLE DAWN ZARATE

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
1	101YP2500X	Professional Counselor	RC60023981	WA
2	390200000X	Student in an Organized Health Care Education/Training Program	RC60023981	WA
3	101YM0800X	Mental Health Counselor	LH60328179	WA

General Provider Information

NPI Number	:	1205089018
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MICHELLE DAWN ZARATE

Provider Business Mailing Address
First Line	:	1600 E OLIVE ST
Second Line	:	SOUND MENTAL HEALTH
City	:	SEATTLE
State	:	WA
Zip	:	98122-2735
Country	:	US
Telephone Number	:	206-302-2200
Fax Number	:	206-302-2210

Provider Business Practice Location Address
First Line	:	600 LAKEWAY DR
Second Line	:
City	:	BELLINGHAM
State	:	WA
Zip	:	98225-5236
Country	:	US
Telephone Number	:	360-676-6749
Fax Number	:	360-738-2451

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	10/24/2008
Last Update Date	:	09/09/2024

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