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NPI Code Detail

MEDICARE: IMAN ABUAITAH CLINICAL MSW STUDENT

MEDICARE:   IMAN  ABUAITAH  CLINICAL MSW STUDENT
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 CounselorWA

General Provider Information

NPI Number : 1649126657
Entity Type Code : Individual
Provider Name (Legal Business Name) : IMAN ABUAITAH CLINICAL MSW STUDENT
Provider Business Mailing Address
First Line : 2733 45TH AVE SW
Second Line :
City : SEATTLE
State : WA
Zip : 98116-2414
Country : US
Telephone Number : 206-730-6631
Fax Number :
Provider Business Practice Location Address
First Line : 704 228TH AVE NE # 931
Second Line :
City : SAMMAMISH
State : WA
Zip : 98074-7222
Country : US
Telephone Number : 425-428-7517
Fax Number : 425-225-4605
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/10/2026
Last Update Date : 03/10/2026

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Directions to “ IMAN ABUAITAH CLINICAL MSW STUDENT” Practice Location

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These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.