Provider Demographics
NPI:1518295922
Name:MAIO, MONIQUE MCCANN (LMHC)
Entity Type:Individual
Prefix:
First Name:MONIQUE
Middle Name:MCCANN
Last Name:MAIO
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8490 MUKILTED SPEEDWAY
Mailing Address - Street 2:SUITE 214
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-3210
Mailing Address - Country:US
Mailing Address - Phone:425-484-9832
Mailing Address - Fax:425-633-2278
Practice Address - Street 1:8490 MUKILTED SPEEDWAY
Practice Address - Street 2:SUITE 214
Practice Address - City:MUKILTEO
Practice Address - State:WA
Practice Address - Zip Code:98275-3210
Practice Address - Country:US
Practice Address - Phone:425-484-9832
Practice Address - Fax:425-633-2278
Is Sole Proprietor?:No
Enumeration Date:2009-11-23
Last Update Date:2021-10-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WARC60057235101Y00000X
WALH60923103101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor