Provider Demographics
NPI:1295903193
Name:ASMAR-SALEM, ZINA (MFT, LLP)
Entity type:Individual
Prefix:
First Name:ZINA
Middle Name:
Last Name:ASMAR-SALEM
Suffix:
Gender:F
Credentials:MFT, LLP
Other - Prefix:
Other - First Name:ZINA
Other - Middle Name:ASMAR
Other - Last Name:ASMAR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MFT, LLP
Mailing Address - Street 1:2651 SAULINO CT
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48120-1556
Mailing Address - Country:US
Mailing Address - Phone:313-574-3887
Mailing Address - Fax:
Practice Address - Street 1:6451 SCHAEFER RD
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48126-2212
Practice Address - Country:US
Practice Address - Phone:313-945-8138
Practice Address - Fax:313-203-3390
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-13
Last Update Date:2021-01-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6301009982101YM0800X
MI4101006108101YM0800X
CAMFC 49268101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health