Provider Demographics
NPI:1205358165
Name:PARIES, RINATTA (MA, CMHA, MFTI)
Entity Type:Individual
Prefix:
First Name:RINATTA
Middle Name:
Last Name:PARIES
Suffix:
Gender:F
Credentials:MA, CMHA, MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10013 NE HAZEL DELL AVE # 213
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98685-5203
Mailing Address - Country:US
Mailing Address - Phone:503-583-2579
Mailing Address - Fax:
Practice Address - Street 1:750 OFFICERS ROW
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98661-3845
Practice Address - Country:US
Practice Address - Phone:503-583-2854
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-07-12
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60762333101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health