Provider Demographics
NPI:1386705143
Name:ZHAI, MINYUE (LMHC)
Entity type:Individual
Prefix:
First Name:MINYUE
Middle Name:
Last Name:ZHAI
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 1:701 WASHINGTON ST
Mailing Address - Street 2:SUITE 1B
Mailing Address - City:NEWTON
Mailing Address - State:MA
Mailing Address - Zip Code:02458-1386
Mailing Address - Country:US
Mailing Address - Phone:617-276-6039
Mailing Address - Fax:
Practice Address - Street 1:701 WASHINGTON ST
Practice Address - Street 2:SUITE 1B
Practice Address - City:NEWTON
Practice Address - State:MA
Practice Address - Zip Code:02458-1386
Practice Address - Country:US
Practice Address - Phone:617-276-6039
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-13
Last Update Date:2013-09-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA7469101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health