Provider Demographics
NPI:1861972622
Name:RATH, LAUREN TONGISH (APCC)
Entity type:Individual
Prefix:MRS
First Name:LAUREN
Middle Name:TONGISH
Last Name:RATH
Suffix:
Gender:F
Credentials:APCC
Other - Prefix:MISS
Other - First Name:LAUREN
Other - Middle Name:NICHOLE
Other - Last Name:TONGISH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:APCC
Mailing Address - Street 1:922 S COWLEY ST STE 9
Mailing Address - Street 2:
Mailing Address - City:SPOKANE
Mailing Address - State:WA
Mailing Address - Zip Code:99202-1263
Mailing Address - Country:US
Mailing Address - Phone:509-822-6777
Mailing Address - Fax:509-676-6655
Practice Address - Street 1:922 S COWLEY ST STE 9
Practice Address - Street 2:
Practice Address - City:SPOKANE
Practice Address - State:WA
Practice Address - Zip Code:99202-1263
Practice Address - Country:US
Practice Address - Phone:509-822-6777
Practice Address - Fax:509-676-6655
Is Sole Proprietor?:No
Enumeration Date:2018-08-20
Last Update Date:2024-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WALH61507731101YM0800X
CO101YM0800X
CA6769101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health