Healthcare Provider Details

I. General information

NPI: 1326599242
Provider Name (Legal Business Name): MARAIAH ESSLINGER LPC, LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/14/2016
Last Update Date: 07/09/2026
Certification Date: 07/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4224 NE HALSEY ST STE 335
PORTLAND OR
97213-1568
US

IV. Provider business mailing address

PO BOX 1492
STEVENSON WA
98648-1492
US

V. Phone/Fax

Practice location:
  • Phone: 503-447-3609
  • Fax:
Mailing address:
  • Phone: 509-427-3850
  • Fax: 509-427-0188

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCO60680463
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberC7307
License Number StateOR

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: