Provider Demographics
NPI:1952672669
Name:NUGUSIE, YOSIEF GEBREYOHANNES (MSW)
Entity Type:Individual
Prefix:
First Name:YOSIEF
Middle Name:GEBREYOHANNES
Last Name:NUGUSIE
Suffix:
Gender:M
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 359760
Mailing Address - Street 2:325 9TH AVENUE
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98195-9760
Mailing Address - Country:US
Mailing Address - Phone:206-744-5158
Mailing Address - Fax:206-744-5109
Practice Address - Street 1:235 9TH AVE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104
Practice Address - Country:US
Practice Address - Phone:206-744-5158
Practice Address - Fax:206-744-5109
Is Sole Proprietor?:No
Enumeration Date:2012-01-26
Last Update Date:2012-10-09
Deactivation Date:
Deactivation Code:
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Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health