Provider Demographics
NPI:1447887369
Name:NAEEMI, MIMI (LMHCA, AAC)
Entity type:Individual
Prefix:
First Name:MIMI
Middle Name:
Last Name:NAEEMI
Suffix:
Gender:F
Credentials:LMHCA, AAC
Other - Prefix:
Other - First Name:MARYAM
Other - Middle Name:NAEEMI
Other - Last Name:DADKHAHAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHCA, AAC
Mailing Address - Street 1:124 4TH AVE S STE 230
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-5907
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:124 4TH AVE S STE 230
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-5907
Practice Address - Country:US
Practice Address - Phone:206-571-1457
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-23
Last Update Date:2023-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61435649101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health