Provider Demographics
NPI:1609127729
Name:APPELBAWM-MAIZEL, MALKA
Entity Type:Individual
Prefix:
First Name:MALKA
Middle Name:
Last Name:APPELBAWM-MAIZEL
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 1:1229 W SMITH ST
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-4317
Mailing Address - Country:US
Mailing Address - Phone:253-850-2500
Mailing Address - Fax:253-850-2530
Practice Address - Street 1:1229 W SMITH ST
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-4317
Practice Address - Country:US
Practice Address - Phone:253-850-2500
Practice Address - Fax:253-850-2530
Is Sole Proprietor?:No
Enumeration Date:2012-09-28
Last Update Date:2012-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA00011287101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor