Individual
RACHEL FRESONKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA
Contact information
Practice address
20435 72ND AVE S STE 302, KENT, WA 98032-2358
(877) 264-6747
Mailing address
720 SE 160TH AVE # 154, VANCOUVER, WA 98684-8911
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
103K00000X
Behavior Analyst
1-22-61352
WA
103K00000X
Behavior Analyst
Primary
BA61357380
WA
Other
Enumeration date
08/24/2018
Last updated
12/16/2022
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