Provider Demographics
NPI:1942553847
Name:MARRAZZO, RACHEL K (MA)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:K
Last Name:MARRAZZO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4904 W LAMAR AVE
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99208-9132
Mailing Address - Country:US
Mailing Address - Phone:509-499-5137
Mailing Address - Fax:
Practice Address - Street 1:201 W FRANCIS
Practice Address - Street 2:SUITE F
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99205-2403
Practice Address - Country:US
Practice Address - Phone:509-499-5137
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-10-17
Last Update Date:2017-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60390535101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
WA8952001OtherWASHINGTON STATE DEPARTMENT OF LABOR AND INDUSTRIES, CRIME VICTIMS COMPENSATION