Provider Demographics
NPI:1073746780
Name:HOUTMAN, RACHEL ELANA (MED, LMHC, CDPT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ELANA
Last Name:HOUTMAN
Suffix:
Gender:F
Credentials:MED, LMHC, CDPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17018 15TH AVE NE
Mailing Address - Street 2:CENTER FOR HUMAN SERVICES
Mailing Address - City:SHORELINE
Mailing Address - State:WA
Mailing Address - Zip Code:98155-5126
Mailing Address - Country:US
Mailing Address - Phone:425-408-6424
Mailing Address - Fax:206-631-8988
Practice Address - Street 1:17018 15TH AVE NE
Practice Address - Street 2:CENTER FOR HUMAN SERVICES
Practice Address - City:SHORELINE
Practice Address - State:WA
Practice Address - Zip Code:98155-5126
Practice Address - Country:US
Practice Address - Phone:425-408-6424
Practice Address - Fax:206-631-8988
Is Sole Proprietor?:No
Enumeration Date:2009-08-27
Last Update Date:2013-06-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60340221101YM0800X
WACO60203174101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health