Provider Demographics
NPI:1063225308
Name:MENDEZ COVARRUBIAS, ABEL
Entity type:Individual
Prefix:
First Name:ABEL
Middle Name:
Last Name:MENDEZ COVARRUBIAS
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:711 6TH AVE N
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98109-4213
Mailing Address - Country:US
Mailing Address - Phone:206-501-3730
Mailing Address - Fax:
Practice Address - Street 1:12805 NE 197TH PL
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-2558
Practice Address - Country:US
Practice Address - Phone:425-891-8226
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-01-30
Last Update Date:2025-01-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor