Provider Demographics
NPI:1063028918
Name:GENT, MARIA F (LMHCA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:F
Last Name:GENT
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23291 NE STATE ROUTE 3
Mailing Address - Street 2:
Mailing Address - City:BELFAIR
Mailing Address - State:WA
Mailing Address - Zip Code:98528-9324
Mailing Address - Country:US
Mailing Address - Phone:360-763-6500
Mailing Address - Fax:360-277-4637
Practice Address - Street 1:23291 NE STATE ROUTE 3
Practice Address - Street 2:
Practice Address - City:BELFAIR
Practice Address - State:WA
Practice Address - Zip Code:98528-9324
Practice Address - Country:US
Practice Address - Phone:360-763-6500
Practice Address - Fax:360-277-4637
Is Sole Proprietor?:No
Enumeration Date:2020-09-16
Last Update Date:2020-09-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC60951404101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health