Provider Demographics
NPI:1255068797
Name:ZELL, MATTHEW (LMHCA)
Entity type:Individual
Prefix:
First Name:MATTHEW
Middle Name:
Last Name:ZELL
Suffix:
Gender:M
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15127 NE 24TH ST # 721
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-5544
Mailing Address - Country:US
Mailing Address - Phone:425-287-6111
Mailing Address - Fax:
Practice Address - Street 1:16926 NE 17TH PL
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98008-2904
Practice Address - Country:US
Practice Address - Phone:425-287-6111
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-08-04
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61332801101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health