MEDICARE: KAMARA RACHELLE MCMICHAEL-REESE LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LF61262373	WA
2	106H00000X	Marriage & Family Therapist	LF61262373	WA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1144708272
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	KAMARA RACHELLE MCMICHAEL-REESE LMFT

Provider Business Mailing Address
First Line	:	1944 PACIFIC AVE STE 306
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98402-3121
Country	:	US
Telephone Number	:	253-617-4867
Fax Number	:

Provider Business Practice Location Address
First Line	:	1944 PACIFIC AVE STE 306
Second Line	:
City	:	TACOMA
State	:	WA
Zip	:	98402-3121
Country	:	US
Telephone Number	:	253-617-4867
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/31/2018
Last Update Date	:	05/06/2025

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Directions to “ KAMARA RACHELLE MCMICHAEL-REESE LMFT” Practice Location

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