MEDICARE: MS. MARIAH SALAZAR

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	CO61689294	WA

General Provider Information

NPI Number	:	1477408953
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARIAH SALAZAR

Provider Business Mailing Address
First Line	:	16404 SMOKEY POINT BLVD
Second Line	:	#109
City	:	ARLINGTON
State	:	WA
Zip	:	98223
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	16404 SMOKEY POINT BLVD
Second Line	:	#109
City	:	ARLINGTON
State	:	WA
Zip	:	98223
Country	:	US
Telephone Number	:	360-502-2778
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/02/2026
Last Update Date	:	03/02/2026

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