Provider Demographics
NPI:1073281986
Name:LUKE, RACHEL D (MA, LMHCA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:D
Last Name:LUKE
Suffix:
Gender:F
Credentials:MA, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:281 S BURLINGTON BLVD STE 101
Mailing Address - Street 2:
Mailing Address - City:BURLINGTON
Mailing Address - State:WA
Mailing Address - Zip Code:98233-1717
Mailing Address - Country:US
Mailing Address - Phone:206-445-1144
Mailing Address - Fax:
Practice Address - Street 1:281 S BURLINGTON BLVD STE 101
Practice Address - Street 2:
Practice Address - City:BURLINGTON
Practice Address - State:WA
Practice Address - Zip Code:98233-1717
Practice Address - Country:US
Practice Address - Phone:206-445-1144
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-09-03
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61290710101YM0800X, 101YM0800X
390200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No390200000XStudent, Health CareStudent in an Organized Health Care Education/Training Program