Individual
ANTONIA L RATHBUN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MA, LMHC, ATR
Contact information
Practice address
415 W 11TH ST, VANCOUVER, WA 98660-3147
(360) 699-2244
Mailing address
PO BOX 484, VANCOUVER, WA 98666-0484
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LH00004515
WA
Other
Enumeration date
12/06/2007
Last updated
12/06/2007
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