Provider Demographics
NPI:1497167357
Name:ASKLAND, REBECCA (MACP, LMHC)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:ASKLAND
Suffix:
Gender:F
Credentials:MACP, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 338
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98041-0338
Mailing Address - Country:US
Mailing Address - Phone:206-859-1344
Mailing Address - Fax:206-785-1070
Practice Address - Street 1:12220 113TH AVE NE
Practice Address - Street 2:SUITE 210
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-6915
Practice Address - Country:US
Practice Address - Phone:206-859-1344
Practice Address - Fax:206-785-1070
Is Sole Proprietor?:Yes
Enumeration Date:2014-05-27
Last Update Date:2016-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH 60610367101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health