Provider Demographics
NPI:1487321758
Name:AL-HAJRI, UNCONIA I (CO61123572)
Entity type:Individual
Prefix:MS
First Name:UNCONIA
Middle Name:I
Last Name:AL-HAJRI
Suffix:
Gender:F
Credentials:CO61123572
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1935 N HOLY NAMES CT APT C303
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99224-5845
Mailing Address - Country:US
Mailing Address - Phone:509-608-7080
Mailing Address - Fax:
Practice Address - Street 1:44 E COZZA DR
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99208-6514
Practice Address - Country:US
Practice Address - Phone:509-325-6800
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-08-25
Last Update Date:2021-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO61123572101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)