Provider Demographics
NPI:1558912402
Name:OUN, MONICA
Entity Type:Individual
Prefix:
First Name:MONICA
Middle Name:
Last Name:OUN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:315 1ST AVE W APT 416
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98119-4158
Mailing Address - Country:US
Mailing Address - Phone:425-448-2528
Mailing Address - Fax:
Practice Address - Street 1:315 1ST AVE W APT 416
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98119-4158
Practice Address - Country:US
Practice Address - Phone:425-448-2528
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-23
Last Update Date:2023-09-07
Deactivation Date:2021-04-08
Deactivation Code:
Reactivation Date:2021-11-15
Provider Licenses
StateLicense IDTaxonomies
WA101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health