Provider Demographics
NPI:1174837934
Name:HOSSNER, RACHEL MAE (MED, LMHC, NCC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MAE
Last Name:HOSSNER
Suffix:
Gender:F
Credentials:MED, LMHC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:829 6TH ST
Mailing Address - Street 2:
Mailing Address - City:CLARKSTON
Mailing Address - State:WA
Mailing Address - Zip Code:99403-2002
Mailing Address - Country:US
Mailing Address - Phone:509-758-8045
Mailing Address - Fax:509-769-0994
Practice Address - Street 1:829 6TH ST
Practice Address - Street 2:
Practice Address - City:CLARKSTON
Practice Address - State:WA
Practice Address - Zip Code:99403-2002
Practice Address - Country:US
Practice Address - Phone:509-758-8045
Practice Address - Fax:509-769-0994
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-03
Last Update Date:2014-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60199651101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional