Individual
DIANA HAFZALLLA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMHCA
Contact information
Practice address
12110 29TH AVE W, EVERETT, WA 98204-7703
(425) 835-2052
Mailing address
12110 29TH AVE W, EVERETT, WA 98204-7703
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
60885446
WA
Other
Enumeration date
10/09/2018
Last updated
10/09/2018
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