Individual
NADEZHDA KOSANOVSKAYA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LMFT, CDPT, CMHS
Contact information
Practice address
15455 65TH AVE S, TUKWILA, WA 98188-2534
(206) 721-5170
(206) 721-6288
Mailing address
PO BOX 2429, LONGVIEW, WA 98632-8486
(360) 353-9494
(360) 353-9440
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
101YA0400X
Addiction (Substance Use Disorder) Counselor
CO60733863
WA
106H00000X
Marriage & Family Therapist
Primary
LF60849905
WA
Other
Enumeration date
11/09/2016
Last updated
08/01/2019
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