Provider Demographics
NPI:1821245234
Name:RASH, SUSAN KATHLEEN (MS, LMHC)
Entity Type:Individual
Prefix:MS
First Name:SUSAN
Middle Name:KATHLEEN
Last Name:RASH
Suffix:
Gender:F
Credentials:MS, LMHC
Other - Prefix:
Other - First Name:SUSAN
Other - Middle Name:KATHLEEN
Other - Last Name:SOTO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:555 DAYTON ST STE J
Mailing Address - Street 2:
Mailing Address - City:EDMONDS
Mailing Address - State:WA
Mailing Address - Zip Code:98020-3601
Mailing Address - Country:US
Mailing Address - Phone:206-251-0556
Mailing Address - Fax:
Practice Address - Street 1:611 MAIN ST
Practice Address - Street 2:SUITE B2
Practice Address - City:EDMONDS
Practice Address - State:WA
Practice Address - Zip Code:98020-3096
Practice Address - Country:US
Practice Address - Phone:206-251-0556
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-27
Last Update Date:2022-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00006570101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health