Provider Demographics
NPI:1033748538
Name:GABELEIN, YULISSA MARIELY (MA, LMHCA)
Entity type:Individual
Prefix:MRS
First Name:YULISSA
Middle Name:MARIELY
Last Name:GABELEIN
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:MISS
Other - First Name:YULISSA
Other - Middle Name:MARIELY
Other - Last Name:BAUTISTA ZURITA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6534 NE 171ST PL
Mailing Address - Street 2:
Mailing Address - City:KENMORE
Mailing Address - State:WA
Mailing Address - Zip Code:98028
Mailing Address - Country:US
Mailing Address - Phone:425-287-2997
Mailing Address - Fax:
Practice Address - Street 1:6534 NE 171ST PL
Practice Address - Street 2:
Practice Address - City:KENMORE
Practice Address - State:WA
Practice Address - Zip Code:98028
Practice Address - Country:US
Practice Address - Phone:425-287-2997
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-06
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACG61060900101Y00000X, 175T00000X
390200000X
WAMHCA.MC.61649647101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No175T00000XOther Service ProvidersPeer Specialist
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program