Provider Demographics
NPI:1942590849
Name:RICHTER, RACHEL L (MA, LMHC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:L
Last Name:RICHTER
Suffix:
Gender:F
Credentials:MA, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 107
Mailing Address - Street 2:
Mailing Address - City:SNOQUALMIE
Mailing Address - State:WA
Mailing Address - Zip Code:98065-0107
Mailing Address - Country:US
Mailing Address - Phone:206-963-0809
Mailing Address - Fax:
Practice Address - Street 1:38579 SE RIVER ST
Practice Address - Street 2:SUITE 18
Practice Address - City:SNOQUALMIE
Practice Address - State:WA
Practice Address - Zip Code:98065-9657
Practice Address - Country:US
Practice Address - Phone:206-963-0809
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-12
Last Update Date:2012-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60212241101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health