Provider Demographics
NPI:1356728828
Name:LAREE RUMBLE LMHC COUNSELING
Entity type:Organization
Organization Name:LAREE RUMBLE LMHC COUNSELING
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:LICENSED MENTAL HEALTH COUNSELOR
Authorized Official - Prefix:
Authorized Official - First Name:LAREE
Authorized Official - Middle Name:ANNETTE
Authorized Official - Last Name:RUMBLE
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, NCC
Authorized Official - Phone:509-679-2380
Mailing Address - Street 1:630 VALLEY MALL PKWY
Mailing Address - Street 2:BOX 405
Mailing Address - City:EAST WENATCHEE
Mailing Address - State:WA
Mailing Address - Zip Code:98802-4838
Mailing Address - Country:US
Mailing Address - Phone:509-679-2380
Mailing Address - Fax:
Practice Address - Street 1:18 S MISSION ST
Practice Address - Street 2:SUITE 203
Practice Address - City:WENATCHEE
Practice Address - State:WA
Practice Address - Zip Code:98801-2203
Practice Address - Country:US
Practice Address - Phone:509-679-2380
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-05-04
Last Update Date:2015-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH60296884101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty