Healthcare Provider Details

I. General information

NPI: 1871002105
Provider Name (Legal Business Name): RACHAEL ANNE SEWELL LMFT,SUDP,CMHS,MHP
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/29/2017
Last Update Date: 07/16/2026
Certification Date: 07/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

605 S COOLIDGE ST
MOSES LAKE WA
98837-1893
US

IV. Provider business mailing address

605 S COOLIDGE ST
MOSES LAKE WA
98837-1873
US

V. Phone/Fax

Practice location:
  • Phone: 509-765-0674
  • Fax:
Mailing address:
  • Phone: 509-765-0674
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YA0400X
TaxonomyAddiction (Substance Use Disorder) Counselor
License NumberCDP.CP60621678
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT.LF.60864667
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: