Provider Demographics
NPI:1811672900
Name:COLWELL, ANNA REBECCA (MACP, LMHCA)
Entity type:Individual
Prefix:
First Name:ANNA
Middle Name:REBECCA
Last Name:COLWELL
Suffix:
Gender:F
Credentials:MACP, LMHCA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3926 1ST AVE NE APT 33
Mailing Address - Street 2:
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98105-6837
Mailing Address - Country:US
Mailing Address - Phone:206-669-5436
Mailing Address - Fax:
Practice Address - Street 1:3926 1ST AVE NE APT 33
Practice Address - Street 2:
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98105-6837
Practice Address - Country:US
Practice Address - Phone:206-669-5436
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-06-16
Last Update Date:2023-07-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health