Provider Demographics
NPI:1952751836
Name:EBRAHIMI, MONA (LMHC)
Entity Type:Individual
Prefix:
First Name:MONA
Middle Name:
Last Name:EBRAHIMI
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:20133 7TH AVE SE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98012-9614
Mailing Address - Country:US
Mailing Address - Phone:425-591-1124
Mailing Address - Fax:
Practice Address - Street 1:20133 7TH AVE SE
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98012-9614
Practice Address - Country:US
Practice Address - Phone:425-591-1124
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-06-21
Last Update Date:2021-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health