Provider Demographics
NPI:1568236511
Name:LOCH, RACHEL (MC61482210)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:LOCH
Suffix:
Gender:F
Credentials:MC61482210
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2222 ALKI AVE SW APT 202
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98116-1860
Mailing Address - Country:US
Mailing Address - Phone:253-693-0614
Mailing Address - Fax:
Practice Address - Street 1:2222 ALKI AVE SW APT 202
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98116-1860
Practice Address - Country:US
Practice Address - Phone:253-693-0614
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-11-09
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61482210101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health