Provider Demographics
NPI:1679353254
Name:SOLOMON, REBECCA-RUTH BALAO (LMHCA)
Entity Type:Individual
Prefix:
First Name:REBECCA-RUTH
Middle Name:BALAO
Last Name:SOLOMON
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 1:7343 12TH AVE NE
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98115-5619
Mailing Address - Country:US
Mailing Address - Phone:425-387-7767
Mailing Address - Fax:
Practice Address - Street 1:7343 12TH AVE NE
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98115-5619
Practice Address - Country:US
Practice Address - Phone:425-387-7767
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-10-02
Last Update Date:2023-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61466505101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health