Individual
EDAN ZEBOOLOON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MA, LMHCA
Contact information
Practice address
316 MAIN STREET, SUITE B, EDMONDS, WA 98020-3197
(206) 841-0137
Mailing address
1326 N 160TH ST., SHORELINE, WA 98133-5713
(206) 841-0137
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
MC60163828
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
12278259
AETNA
—
Enumeration date
11/29/2011
Last updated
11/29/2011
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