Provider Demographics
NPI:1235550807
Name:VAWTER, RICHELLE (ND, LMHC, BCB)
Entity Type:Individual
Prefix:
First Name:RICHELLE
Middle Name:
Last Name:VAWTER
Suffix:
Gender:F
Credentials:ND, LMHC, BCB
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10015 LAKE CITY WAY NE
Mailing Address - Street 2:SUITE 431
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98125-7770
Mailing Address - Country:US
Mailing Address - Phone:800-495-1534
Mailing Address - Fax:206-397-0302
Practice Address - Street 1:10015 LAKE CITY WAY NE
Practice Address - Street 2:SUITE 431
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98125-7770
Practice Address - Country:US
Practice Address - Phone:425-891-2216
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-12-26
Last Update Date:2019-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60221517101YM0800X
OR4112175F00000X
WANT60799023175F00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175F00000XOther Service ProvidersNaturopath
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health