Provider Demographics
NPI:1649808478
Name:MAURER, ELIZABETH WINSTON (MA, LMHC)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:WINSTON
Last Name:MAURER
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:ELIZABETH
Other - Middle Name:WINSTON
Other - Last Name:STEWART
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMHC
Mailing Address - Street 1:1027 DENNY AVE
Mailing Address - Street 2:
Mailing Address - City:CLE ELUM
Mailing Address - State:WA
Mailing Address - Zip Code:98922-1402
Mailing Address - Country:US
Mailing Address - Phone:509-607-9408
Mailing Address - Fax:
Practice Address - Street 1:1027 DENNY AVE
Practice Address - Street 2:
Practice Address - City:CLE ELUM
Practice Address - State:WA
Practice Address - Zip Code:98922-1402
Practice Address - Country:US
Practice Address - Phone:509-607-9408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-03-28
Last Update Date:2020-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00005836101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health