Healthcare Provider Details

I. General information

NPI: 1295276038
Provider Name (Legal Business Name): RACHEL JANE GUADAMUZ LMHC,LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/13/2017
Last Update Date: 06/15/2026
Certification Date: 06/15/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6715 NE 63RD ST STE 288
VANCOUVER WA
98661-1980
US

IV. Provider business mailing address

6715 NE 63RD ST STE 288
VANCOUVER WA
98661-1980
US

V. Phone/Fax

Practice location:
  • Phone: 253-356-2900
  • Fax:
Mailing address:
  • Phone: 253-356-2900
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License NumberMHC.LH.70004239
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101YP2500X
TaxonomyProfessional Counselor
License Number92466
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: