Provider Demographics
NPI:1114591070
Name:SAENZ, MARY JOANNE (MS, LMHC)
Entity Type:Individual
Prefix:
First Name:MARY
Middle Name:JOANNE
Last Name:SAENZ
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6136 DELLA DR
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98248-8730
Mailing Address - Country:US
Mailing Address - Phone:360-595-8791
Mailing Address - Fax:360-312-0457
Practice Address - Street 1:6136 DELLA DR
Practice Address - Street 2:
Practice Address - City:FERNDALE
Practice Address - State:WA
Practice Address - Zip Code:98248-8730
Practice Address - Country:US
Practice Address - Phone:360-595-8791
Practice Address - Fax:360-312-0457
Is Sole Proprietor?:No
Enumeration Date:2021-05-16
Last Update Date:2022-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61330594101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health