Basic Information
| Provider Information | |||||||||
| NPI: | 1649389321 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | MARLOWE | ||||||||
| FirstName: | REBECCA | ||||||||
| MiddleName: | SARAH | ||||||||
| NamePrefix: | MS. | ||||||||
| NameSuffix: | |||||||||
| Credential: | M.A. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 4807 196TH ST SW | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | LYNNWOOD | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980366430 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258355916 | ||||||||
| FaxNumber: | 4257441216 | ||||||||
| Practice Location | |||||||||
| Address1: | 4807 196TH ST SW | ||||||||
| Address2: | SUITE 100 | ||||||||
| City: | LYNNWOOD | ||||||||
| State: | WA | ||||||||
| PostalCode: | 980366430 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4258355916 | ||||||||
| FaxNumber: | 4257441216 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 08/29/2006 | ||||||||
| LastUpdateDate: | 07/08/2007 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 101YM0800X | PC00049480 | WA | Y | Behavioral Health & Social Service Providers | Counselor | Mental Health |
No ID Information.