Provider Demographics
NPI:1588423594
Name:ORESHNIKOVA, MARIA (MS, MED, LMHCA)
Entity type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:ORESHNIKOVA
Suffix:
Gender:F
Credentials:MS, MED, LMHCA
Other - Prefix:
Other - First Name:MARIA
Other - Middle Name:
Other - Last Name:KOSAREVA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6515 134TH PL SE UNIT I4
Mailing Address - Street 2:
Mailing Address - City:SNOHOMISH
Mailing Address - State:WA
Mailing Address - Zip Code:98296-8674
Mailing Address - Country:US
Mailing Address - Phone:201-365-8799
Mailing Address - Fax:
Practice Address - Street 1:6515 134TH PL SE UNIT I4
Practice Address - Street 2:
Practice Address - City:SNOHOMISH
Practice Address - State:WA
Practice Address - Zip Code:98296-8674
Practice Address - Country:US
Practice Address - Phone:201-365-8799
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-03-14
Last Update Date:2024-03-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61479371101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health