Provider Demographics
NPI:1629324207
Name:ESPARZA, MAUREEN ONGOCO (LMHC)
Entity Type:Individual
Prefix:
First Name:MAUREEN
Middle Name:ONGOCO
Last Name:ESPARZA
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:MAUREEN
Other - Middle Name:B
Other - Last Name:ONGOCO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1764 S 42ND ST
Mailing Address - Street 2:
Mailing Address - City:TACOMA
Mailing Address - State:WA
Mailing Address - Zip Code:98418-1634
Mailing Address - Country:US
Mailing Address - Phone:206-660-7545
Mailing Address - Fax:
Practice Address - Street 1:1764 S 42ND ST
Practice Address - Street 2:
Practice Address - City:TACOMA
Practice Address - State:WA
Practice Address - Zip Code:98418-1634
Practice Address - Country:US
Practice Address - Phone:206-660-7545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-08-01
Last Update Date:2024-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60201582101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health