Provider Demographics
NPI:1710429923
Name:LEMERT, RICHARD DRAYTON (LMHC)
Entity Type:Individual
Prefix:MR
First Name:RICHARD
Middle Name:DRAYTON
Last Name:LEMERT
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:350 LANDERS LN
Mailing Address - Street 2:
Mailing Address - City:CLE ELUM
Mailing Address - State:WA
Mailing Address - Zip Code:98922-9171
Mailing Address - Country:US
Mailing Address - Phone:206-818-6053
Mailing Address - Fax:
Practice Address - Street 1:14233 AMBAUM BLVD SW # R
Practice Address - Street 2:
Practice Address - City:BURIEN
Practice Address - State:WA
Practice Address - Zip Code:98166-1421
Practice Address - Country:US
Practice Address - Phone:206-818-6053
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-11-07
Last Update Date:2023-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC 60673296101YM0800X
WALH60921208101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty