Provider Demographics
NPI:1861829657
Name:BRITTLE, ZACH (LMHC)
Entity Type:Individual
Prefix:
First Name:ZACH
Middle Name:
Last Name:BRITTLE
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:K
Other - Middle Name:ZACHARY
Other - Last Name:BRITTLE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:14337 INTERLAKE AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98133-7107
Mailing Address - Country:US
Mailing Address - Phone:206-779-4667
Mailing Address - Fax:
Practice Address - Street 1:10740 MERIDIAN AVE N
Practice Address - Street 2:SUITE 104
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98133-9010
Practice Address - Country:US
Practice Address - Phone:206-779-4667
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-10-11
Last Update Date:2013-10-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60385103101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor