Provider Demographics
NPI:1861667800
Name:RILEY, ANNE MOSS (LMHC)
Entity Type:Individual
Prefix:MS
First Name:ANNE
Middle Name:MOSS
Last Name:RILEY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:MS
Other - First Name:ELIZABETH
Other - Middle Name:ANNE
Other - Last Name:MOSS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMHC
Mailing Address - Street 1:615 W. TITUS ST.
Mailing Address - Street 2:
Mailing Address - City:KENT
Mailing Address - State:WA
Mailing Address - Zip Code:98032-5749
Mailing Address - Country:US
Mailing Address - Phone:253-854-2286
Mailing Address - Fax:253-854-2285
Practice Address - Street 1:615 W. TITUS ST.
Practice Address - Street 2:
Practice Address - City:KENT
Practice Address - State:WA
Practice Address - Zip Code:98032-5749
Practice Address - Country:US
Practice Address - Phone:253-854-2286
Practice Address - Fax:253-854-2285
Is Sole Proprietor?:Yes
Enumeration Date:2008-04-29
Last Update Date:2012-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH00011262101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health