Provider Demographics
NPI:1508528365
Name:RIOS, REBECCA (LMHCA)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:
Last Name:RIOS
Suffix:
Gender:F
Credentials:LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15790 REDMOND WAY # 1146
Mailing Address - Street 2:
Mailing Address - City:REDMOND
Mailing Address - State:WA
Mailing Address - Zip Code:98052-3830
Mailing Address - Country:US
Mailing Address - Phone:425-209-7456
Mailing Address - Fax:
Practice Address - Street 1:570 KIRKLAND WAY STE 100
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98033-6269
Practice Address - Country:US
Practice Address - Phone:425-209-7456
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-10-08
Last Update Date:2024-11-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61366140101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health