Individual
MAGGIE C ISHAQ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, LMHC, SUDP, CCS
Contact information
Practice address
7500 212TH ST SW STE 205, EDMONDS, WA 98026-7617
(425) 977-4988
(425) 977-4989
Mailing address
7500 212TH ST SW STE 205, EDMONDS, WA 98026-7617
(425) 977-4988
(425) 977-4989
Taxonomy
Speciality
Code
Description
License number
State
101YA0400X
Addiction (Substance Use Disorder) Counselor
CP00005296
WA
101YM0800X
Mental Health Counselor
LH60200522
WA
106H00000X
Marriage & Family Therapist
Primary
LH60200522
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2150670
—
WA
05
—
2150671
—
WA
Enumeration date
07/16/2007
Last updated
03/30/2024
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