MEDICARE: PHILIP ZARAGOZA

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	101YM0800X	Mental Health Counselor	MHC.LH.70023124	WA

General Provider Information

NPI Number	:	1720750441
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PHILIP ZARAGOZA

Provider Business Mailing Address
First Line	:	20102 CEDAR VALLEY RD STE 204
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-6333
Country	:	US
Telephone Number	:	425-338-7589
Fax Number	:

Provider Business Practice Location Address
First Line	:	20102 CEDAR VALLEY RD STE 204
Second Line	:
City	:	LYNNWOOD
State	:	WA
Zip	:	98036-6333
Country	:	US
Telephone Number	:	425-338-7589
Fax Number	:	425-771-8400

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

Provider Enumeration Date	:	09/30/2021
Last Update Date	:	03/02/2026

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Directions to “ PHILIP ZARAGOZA ” Practice Location

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