Provider Demographics
NPI:1760651152
Name:STRUTHERS, RAYMOND J (MA, LMFT)
Entity Type:Individual
Prefix:MR
First Name:RAYMOND
Middle Name:J
Last Name:STRUTHERS
Suffix:
Gender:M
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:22211 31ST AVE SE
Mailing Address - Street 2:
Mailing Address - City:BOTHELL
Mailing Address - State:WA
Mailing Address - Zip Code:98021-7810
Mailing Address - Country:US
Mailing Address - Phone:425-485-5340
Mailing Address - Fax:425-337-2477
Practice Address - Street 1:16000 BOT/EVRT HWY
Practice Address - Street 2:S-340
Practice Address - City:MILL CREEK
Practice Address - State:WA
Practice Address - Zip Code:98012-1742
Practice Address - Country:US
Practice Address - Phone:425-485-5340
Practice Address - Fax:425-337-2477
Is Sole Proprietor?:Yes
Enumeration Date:2008-02-29
Last Update Date:2008-02-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALF 1235106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist