Provider Demographics
NPI:1528626843
Name:ZUBER, BEVERLY (BETSY) (MS, LMHC)
Entity type:Individual
Prefix:
First Name:BEVERLY (BETSY)
Middle Name:
Last Name:ZUBER
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:BETSY
Other - Middle Name:
Other - Last Name:ZUBER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MS, LMHC
Mailing Address - Street 1:5956 45TH AVE SW
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98136-1425
Mailing Address - Country:US
Mailing Address - Phone:206-455-0452
Mailing Address - Fax:
Practice Address - Street 1:6553 CALIFORNIA AVE SW STE B
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98136-1896
Practice Address - Country:US
Practice Address - Phone:206-455-0452
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-06-01
Last Update Date:2019-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003845101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health