Provider Demographics
NPI:1609606383
Name:QADRI, ALIYA
Entity type:Individual
Prefix:
First Name:ALIYA
Middle Name:
Last Name:QADRI
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13416 45TH DR SE UNIT 3
Mailing Address - Street 2:
Mailing Address - City:MILL CREEK
Mailing Address - State:WA
Mailing Address - Zip Code:98012-4320
Mailing Address - Country:US
Mailing Address - Phone:425-419-3119
Mailing Address - Fax:
Practice Address - Street 1:13416 45TH DR SE UNIT 3
Practice Address - Street 2:
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-4320
Practice Address - Country:US
Practice Address - Phone:425-419-3119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-08-06
Last Update Date:2024-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health