Healthcare Provider Details

I. General information

NPI: 1588598130
Provider Name (Legal Business Name): MARIIA RIABUKHINA MS, LMHCA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/10/2026
Last Update Date: 06/10/2026
Certification Date: 06/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

18912 N CREEK PKWY STE 208
BOTHELL WA
98011-8016
US

IV. Provider business mailing address

7601 159TH PL NE APT 343
REDMOND WA
98052-5176
US

V. Phone/Fax

Practice location:
  • Phone: 425-404-2332
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMHCA.MC.61687115
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: