Individual provider · Type 1 NPI
Mohammad Jazaieri, PhD
Mental Health Counselor · Bonney Lake, WA
NPI number
1154871432
Active
Practice location
10317 177th Ave E
Bonney Lake, WA 98391-5156
Mailing address
920 Alder Ave Ste 207
Sumner, WA 98390-1401
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LH 60373087 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1154871432
Mohammad Jazaieri, PhD's National Provider Identifier is 1154871432, issued on Oct 10, 2016. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Bonney Lake, WA. The record was last updated on Oct 10, 2016.