Provider Demographics
NPI:1821268905
Name:MEEKS, RICHARD MCINTOSH (MA)
Entity Type:Individual
Prefix:
First Name:RICHARD
Middle Name:MCINTOSH
Last Name:MEEKS
Suffix:
Gender:M
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2442 NW MARKET ST # 264
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98107-4137
Mailing Address - Country:US
Mailing Address - Phone:206-784-2179
Mailing Address - Fax:
Practice Address - Street 1:2401 1/2 10TH AVENUE E
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98102-3055
Practice Address - Country:US
Practice Address - Phone:206-745-2890
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-03-05
Last Update Date:2014-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00003542101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health