Individual
MARINA FORREST COSTA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
225 S 152ND ST, BURIEN, WA 98148-1005
(206) 870-3623
(206) 299-3496
Mailing address
955 POWELL AVE SW, RENTON, WA 98057-2908
(425) 277-1311
(425) 277-1566
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
MC61637695
WA
103T00000X
Psychologist
Primary
PY61610103
WA
390200000X
Student in an Organized Health Care Education/Training Program
—
NM
Other
Enumeration date
03/09/2021
Last updated
09/09/2025
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