Individual
FADUMO OMAR HUSSEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
204 NE 94TH ST, SEATTLE, WA 98115-2752
(206) 461-3614
Mailing address
6400 SOUTHCENTER BLVD, TUKWILA, WA 98188-2547
(206) 901-2000
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
—
—
101YM0800X
Mental Health Counselor
S5724712
WA
Other
Enumeration date
04/21/2022
Last updated
05/04/2022
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