Provider Demographics
NPI:1053840579
Name:DELATEUR, RACHEL ANN (LMHC, GMHS)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:DELATEUR
Suffix:
Gender:F
Credentials:LMHC, GMHS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2101 4TH AVE E STE 200
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98506-6512
Mailing Address - Country:US
Mailing Address - Phone:360-786-9499
Mailing Address - Fax:360-786-0758
Practice Address - Street 1:2101 4TH AVE E STE 200
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98506-6512
Practice Address - Country:US
Practice Address - Phone:360-786-9499
Practice Address - Fax:360-786-0758
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-08
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60158713101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA100596Medicaid
WA60158713OtherWA DEPARTMENT OF HEALTH