Provider Demographics
NPI:1619845542
Name:EMDR RECOVERY WITH RAE ANN
Entity type:Organization
Organization Name:EMDR RECOVERY WITH RAE ANN
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:RAE ANN
Authorized Official - Middle Name:TO EMDR RECOVERY WIT
Authorized Official - Last Name:HAHN
Authorized Official - Suffix:
Authorized Official - Credentials:LMHC, MA
Authorized Official - Phone:253-259-7598
Mailing Address - Street 1:309 E MAIN ST STE 9
Mailing Address - Street 2:
Mailing Address - City:AUBURN
Mailing Address - State:WA
Mailing Address - Zip Code:98002-5540
Mailing Address - Country:US
Mailing Address - Phone:253-259-7598
Mailing Address - Fax:253-259-7598
Practice Address - Street 1:309 E MAIN ST STE 9
Practice Address - Street 2:
Practice Address - City:AUBURN
Practice Address - State:WA
Practice Address - Zip Code:98002-5540
Practice Address - Country:US
Practice Address - Phone:253-259-7598
Practice Address - Fax:253-259-7598
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-10-23
Last Update Date:2025-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty