Provider Demographics
NPI:1871122804
Name:PREFTES ARENZ, MARIA LOUISE (LMHC, SUDPT)
Entity type:Individual
Prefix:MS
First Name:MARIA
Middle Name:LOUISE
Last Name:PREFTES ARENZ
Suffix:
Gender:F
Credentials:LMHC, SUDPT
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:LOUISE
Other - Last Name:PREFTES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:7440 W MARGINAL WAY S
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98108-4141
Mailing Address - Country:US
Mailing Address - Phone:360-856-3186
Mailing Address - Fax:
Practice Address - Street 1:1960 THOMPSON DR
Practice Address - Street 2:
Practice Address - City:SEDRO WOOLLEY
Practice Address - State:WA
Practice Address - Zip Code:98284-5007
Practice Address - Country:US
Practice Address - Phone:425-766-6019
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-02
Last Update Date:2020-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACO61028793101YA0400X
WALH60259931101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)