Provider Demographics
NPI:1790499473
Name:RIPPO, MARIA (LMHC, MA)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:
Last Name:RIPPO
Suffix:
Gender:F
Credentials:LMHC, MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10516 E RIVERSIDE DR
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98011-3714
Mailing Address - Country:US
Mailing Address - Phone:253-335-7592
Mailing Address - Fax:
Practice Address - Street 1:10516 E RIVERSIDE DR
Practice Address - Street 2:
Practice Address - City:BOTHELL
Practice Address - State:WA
Practice Address - Zip Code:98011-3714
Practice Address - Country:US
Practice Address - Phone:253-335-7592
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-01-09
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61538529101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health