Individual provider · Type 1 NPI
Maria Nova Winona Shane, MA, MHP, LMHC
Mental Health Counselor · Everett, WA
NPI number
1376816223
Active
Practice location
3305 Oakes Ave Ste 100
Everett, WA 98201-4409
Fax (425) 297-2222
Mailing address
12106 49th Dr SE
Everett, WA 98208-9104
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Mental Health Counselor Primary | 101YM0800X | LH60488620 (WA) |
| Mental Health Counselor | 101YM0800X | CG60153915 (WA) |
Mental Health Counselor: Definition to come...
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About NPI 1376816223
Maria Nova Winona Shane, MA, MHP, LMHC's National Provider Identifier is 1376816223, issued on Feb 22, 2012. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Everett, WA. The record was last updated on Mar 16, 2026.