Provider Demographics
NPI:1952583023
Name:ZUNIGA, ALBA CATALINA
Entity Type:Individual
Prefix:
First Name:ALBA
Middle Name:CATALINA
Last Name:ZUNIGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:ALBA
Other - Middle Name:CATALINA
Other - Last Name:PETTITT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1621 114TH AVE SE
Mailing Address - Street 2:BELLEFIELD OFFICE PARK. THE ARBOR BUILDING. SUITE 224
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98004-6956
Mailing Address - Country:US
Mailing Address - Phone:425-227-1547
Mailing Address - Fax:425-227-1547
Practice Address - Street 1:1621 114TH AVE SE
Practice Address - Street 2:BELLEFIELD OFFICEPARK. THE ARBOR BUILDING SUITE 224
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98004-6956
Practice Address - Country:US
Practice Address - Phone:425-227-1547
Practice Address - Fax:425-227-1547
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-30
Last Update Date:2011-02-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00010962101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health