Individual provider · Type 1 NPI

Mariya Petrovna Popova, SUDP/T

Addiction (Substance Use Disorder) Counselor · Everett, WA

NPI number 1912831009 Active

Practice location

2732 Grand Ave Ste 101
Everett, WA 98201-3416

Call (425) 322-0830 Map

Fax (425) 259-0243

Mailing address

8102 Evergreen Way Apt C417
Everett, WA 98203-6460

Specialties and licenses

TaxonomyCodeLicense
Addiction (Substance Use Disorder) Counselor Primary 101YA0400XNone listed

Addiction (Substance Use Disorder) Counselor: Definition to come...

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About NPI 1912831009

Mariya Petrovna Popova, SUDP/T's National Provider Identifier is 1912831009, issued on Jun 11, 2026. The primary taxonomy on file is Addiction (Substance Use Disorder) Counselor (101YA0400X), and the practice location is in Everett, WA. The record was last updated on Jun 11, 2026.