Provider Demographics
NPI:1336429646
Name:RICHARDS, RACHEL CHRISTINE (MS)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:CHRISTINE
Last Name:RICHARDS
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:39308 NE AMBOY RD
Mailing Address - Street 2:
Mailing Address - City:YACOLT
Mailing Address - State:WA
Mailing Address - Zip Code:98675-5114
Mailing Address - Country:US
Mailing Address - Phone:503-367-5962
Mailing Address - Fax:503-846-4560
Practice Address - Street 1:39308 NE AMBOY RD
Practice Address - Street 2:
Practice Address - City:YACOLT
Practice Address - State:WA
Practice Address - Zip Code:98675-5114
Practice Address - Country:US
Practice Address - Phone:503-367-5962
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-08-18
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health