Provider Demographics
NPI:1194687657
Name:HASSAN, ZAKARIA ISSACK JR
Entity type:Individual
Prefix:
First Name:ZAKARIA
Middle Name:ISSACK
Last Name:HASSAN
Suffix:JR
Gender:M
Credentials:
Other - Prefix:
Other - First Name:MARYAN
Other - Middle Name:ISSACK
Other - Last Name:HASSAN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:166 BARTLETT ST
Mailing Address - Street 2:
Mailing Address - City:LEWISTON
Mailing Address - State:ME
Mailing Address - Zip Code:04240-8125
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:166 BARTLETT ST
Practice Address - Street 2:
Practice Address - City:LEWISTON
Practice Address - State:ME
Practice Address - Zip Code:04240-8125
Practice Address - Country:US
Practice Address - Phone:561-980-4470
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-02
Last Update Date:2025-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ME101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor