Provider Demographics
NPI:1285089763
Name:RAUH, CAYLA M (BS, SUDP)
Entity type:Individual
Prefix:MS
First Name:CAYLA
Middle Name:M
Last Name:RAUH
Suffix:
Gender:F
Credentials:BS, SUDP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2171 SIDDLE LOOP UNIT 104
Mailing Address - Street 2:
Mailing Address - City:FERNDALE
Mailing Address - State:WA
Mailing Address - Zip Code:98248-8632
Mailing Address - Country:US
Mailing Address - Phone:360-880-7375
Mailing Address - Fax:
Practice Address - Street 1:1211 GIRARD ST
Practice Address - Street 2:
Practice Address - City:BELLINGHAM
Practice Address - State:WA
Practice Address - Zip Code:98225-3219
Practice Address - Country:US
Practice Address - Phone:360-397-8246
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-05-03
Last Update Date:2023-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60496772101YA0400X
WA60639402101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)