Healthcare Provider Details

I. General information

NPI: 1326658105
Provider Name (Legal Business Name): RUTH ARACELI KOVANEN LMHC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/05/2020
Last Update Date: 10/08/2026
Certification Date: 10/08/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

711 STATE AVE NE
OLYMPIA WA
98506-3984
US

IV. Provider business mailing address

711 STATE AVE NE
OLYMPIA WA
98506-3984
US

V. Phone/Fax

Practice location:
  • Phone: 360-943-0780
  • Fax: 360-943-0785
Mailing address:
  • Phone: 360-943-0780
  • Fax: 360-943-0785

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH61613675
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: