Provider Demographics
NPI:1437883972
Name:KALEBU, RACHEL (LMHCA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:KALEBU
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2100 S 260TH ST APT M101
Mailing Address - Street 2:
Mailing Address - City:DES MOINES
Mailing Address - State:WA
Mailing Address - Zip Code:98198-9072
Mailing Address - Country:US
Mailing Address - Phone:206-850-1634
Mailing Address - Fax:
Practice Address - Street 1:2100 S 260TH ST APT M101
Practice Address - Street 2:
Practice Address - City:DES MOINES
Practice Address - State:WA
Practice Address - Zip Code:98198-9072
Practice Address - Country:US
Practice Address - Phone:206-850-1634
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-07-11
Last Update Date:2022-07-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61302764101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health