Provider Demographics
NPI:1750835914
Name:COBLENTZ, RACHEL (LMHC, CPC)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:COBLENTZ
Suffix:
Gender:F
Credentials:LMHC, CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9018 NE 92ND ST
Mailing Address - Street 2:
Mailing Address - City:VANCOUVER
Mailing Address - State:WA
Mailing Address - Zip Code:98662-2084
Mailing Address - Country:US
Mailing Address - Phone:702-688-9367
Mailing Address - Fax:
Practice Address - Street 1:9018 NE 92ND ST
Practice Address - Street 2:
Practice Address - City:VANCOUVER
Practice Address - State:WA
Practice Address - Zip Code:98662-2084
Practice Address - Country:US
Practice Address - Phone:503-410-3029
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-08-05
Last Update Date:2024-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NVCP5229101YP2500X
WAMHC.LH.61447399101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional