Healthcare Provider Details

I. General information

NPI: 1033915418
Provider Name (Legal Business Name): REBECCA HUDSON MHA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/24/2025
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 28752
SEATTLE WA
98118-8752
US

IV. Provider business mailing address

513 3RD AVE
SEATTLE WA
98104-2304
US

V. Phone/Fax

Practice location:
  • Phone: 425-243-9452
  • Fax: 206-508-0840
Mailing address:
  • Phone: 425-902-9132
  • Fax: 206-508-0840

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: