Provider Demographics
NPI:1942740378
Name:RAINIER COMPASSIONATE COUNSELING
Entity Type:Organization
Organization Name:RAINIER COMPASSIONATE COUNSELING
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:DR
Authorized Official - First Name:AMANDA
Authorized Official - Middle Name:JANE
Authorized Official - Last Name:ROSENKOETTER
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:425-413-8031
Mailing Address - Street 1:22216 SE 272ND ST
Mailing Address - Street 2:
Mailing Address - City:MAPLE VALLEY
Mailing Address - State:WA
Mailing Address - Zip Code:98038-7420
Mailing Address - Country:US
Mailing Address - Phone:425-429-8031
Mailing Address - Fax:
Practice Address - Street 1:22216 SE 272ND ST
Practice Address - Street 2:
Practice Address - City:MAPLE VALLEY
Practice Address - State:WA
Practice Address - Zip Code:98038-7420
Practice Address - Country:US
Practice Address - Phone:425-429-8031
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-04
Last Update Date:2017-06-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAPY60484482103T00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes103T00000XBehavioral Health & Social Service ProvidersPsychologistGroup - Single Specialty