Provider Demographics
NPI:1407096522
Name:ABOU AMMO, RASMIAH (MS)
Entity Type:Individual
Prefix:
First Name:RASMIAH
Middle Name:
Last Name:ABOU AMMO
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:19730 64TH AVE W STE 321
Mailing Address - Street 2:
Mailing Address - City:LYNNWOOD
Mailing Address - State:WA
Mailing Address - Zip Code:98036-5957
Mailing Address - Country:US
Mailing Address - Phone:425-433-9545
Mailing Address - Fax:
Practice Address - Street 1:19730 64TH AVE W STE 321
Practice Address - Street 2:
Practice Address - City:LYNNWOOD
Practice Address - State:WA
Practice Address - Zip Code:98036-5957
Practice Address - Country:US
Practice Address - Phone:425-433-9545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-02
Last Update Date:2021-03-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health