Provider Demographics
NPI:1639224090
Name:RAKOZ, NHU THI (LMHPCA)
Entity Type:Individual
Prefix:MRS
First Name:NHU
Middle Name:THI
Last Name:RAKOZ
Suffix:
Gender:F
Credentials:LMHPCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4001 MAIN ST STE 320
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98663-1888
Mailing Address - Country:US
Mailing Address - Phone:360-768-0389
Mailing Address - Fax:
Practice Address - Street 1:4001 MAIN ST STE 320
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98663-1888
Practice Address - Country:US
Practice Address - Phone:360-768-0389
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-24
Last Update Date:2023-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61220352101YM0800X
372600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Not Answered372600000XNursing Service Related ProvidersAdult Companion