Healthcare Provider Details

I. General information

NPI: 1417758129
Provider Name (Legal Business Name): RACHEL MOUSER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: RACHEL PENROD

II. Dates (important events)

Enumeration Date: 03/20/2025
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

902 E MAPLE ST
ARLINGTON WA
98223-1634
US

IV. Provider business mailing address

902 E MAPLE ST
ARLINGTON WA
98223-1634
US

V. Phone/Fax

Practice location:
  • Phone: 360-708-1765
  • Fax: 360-363-4235
Mailing address:
  • Phone: 360-708-1765
  • Fax: 360-363-4235

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberMCHA.MC.70082985
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: