Healthcare Provider Details

I. General information

NPI: 1528526019
Provider Name (Legal Business Name): RACHEL FOSTER
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/04/2019
Last Update Date: 06/30/2022
Certification Date: 06/30/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2821 MISSION HILL RD
TULALIP WA
98271-9706
US

IV. Provider business mailing address

5007 99TH ST SW
MUKILTEO WA
98275-4239
US

V. Phone/Fax

Practice location:
  • Phone: 360-716-4400
  • Fax:
Mailing address:
  • Phone: 425-422-7351
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLF60803670
License Number StateWA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberLF60803670
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: