person
Ms. Maria Nova Winona Shane, MA,MHP,LMHC
Mental Health Counselor in Seattle, Washington
NPI 1376816223

Maria Nova Winona Shane is a Mental Health Counselor based in Everett, WA and is specialized in Mental Health. Maria Nova Winona Shane practices in Seattle, WA and has the professional credentials of MA,MHP,LMHC. The NPI Number for Maria Nova Winona Shane is 1376816223 and holds a License No. CG60153915 (Washington).

The current practice location address for Maria Nova Winona Shane is 611 12Th Ave S, Seattle, WA and can be reached out via phone at 206-834-4029 and via fax at 206-834-4091.

Location: 611 12Th Ave S, Seattle, WA, 98208-9104
person
Provider Profile Details
NPI Number
1376816223
Provider Name
Maria Nova Winona Shane
Credential
MA,MHP,LMHC
Provider Entity Type
Individual
Gender
Female
Address
611 12Th Ave S, Seattle, WA, 98208-9104
Phone Number
206-834-4029
Fax Number
206-834-4091
Provider Enumeration Date
02/22/2012
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
611 12Th Ave S
City
State
Zip
98144-2007
Phone Number
206-834-4029
Fax Number
206-834-4091
person
Provider Business Mailing Address Details
Address
611 12Th Ave S
City
State
Zip
98144-2007
Phone Number
206-834-4029
Fax Number
206-834-4091
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
License No.
CG60153915 (Washington)
Definition
Definition to come...
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