Female

Ms. Maria N. Shane MA, MHP, LMHC

Mental Health Counselor in Seattle, WA(View on Map)

Full Name

Ms. Maria Nova Winona Shane MA, MHP, LMHC

NPI Number

1376816223

NPI Type

Individual Provider

Gender

Female

Enumeration Date

02/22/2012

Specialties

(Taxonomies)

Code

101YM0800X

Primary Taxonomy

Yes

Licenses

State

Washington
Washington

License Number

LH60488620
CG60153915

Contact
Information

Purpose

Mailing
Location

Address

12106 49TH DR SE
611 12TH AVE S

City

Everett
Seattle

State

WA
WA

Postal Code

98208-9104
98144-2007

Country

US
US

Telephone Number

(206) 491-5403
(206) 834-4029

Provider data last refreshed from NPPES NPI registry on 11/19/2024

Data last updated by provider on 05/06/2020

Provider Address

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