Provider Demographics
NPI:1356350748
Name:ZUNDEL, TAMARA (MA, LMHC)
Entity type:Individual
Prefix:
First Name:TAMARA
Middle Name:
Last Name:ZUNDEL
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1615 BIGELOW AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-2941
Mailing Address - Country:US
Mailing Address - Phone:206-295-5526
Mailing Address - Fax:206-282-5474
Practice Address - Street 1:1000 2ND AVE STE 2930
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98104-2456
Practice Address - Country:US
Practice Address - Phone:206-295-5526
Practice Address - Fax:206-282-5474
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-05
Last Update Date:2022-10-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006306101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health