Healthcare Provider Details

I. General information

NPI: 1669600201
Provider Name (Legal Business Name): RIYON D HUTTON
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/22/2009
Last Update Date: 05/19/2025
Certification Date: 05/19/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1200 CHESTERLY DR STE 250
YAKIMA WA
98902-7347
US

IV. Provider business mailing address

1200 CHESTERLY DR STE 250
YAKIMA WA
98902-7347
US

V. Phone/Fax

Practice location:
  • Phone: 509-910-5519
  • Fax: 888-538-7694
Mailing address:
  • Phone: 509-910-5519
  • Fax: 888-538-7694

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberMC60701063
License Number StateWA
# 2
Primary TaxonomyN
Taxonomy Code101Y00000X
TaxonomyCounselor
License NumberCG60154200
License Number StateWA
# 3
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberLH60868326
License Number StateWA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: