Provider Demographics
NPI:1821982919
Name:HARDING, RACHAEL LEE (CBT)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:LEE
Last Name:HARDING
Suffix:
Gender:F
Credentials:CBT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1217 COOPER POINT RD SW STE 5
Mailing Address - Street 2:
Mailing Address - City:OLYMPIA
Mailing Address - State:WA
Mailing Address - Zip Code:98502-7206
Mailing Address - Country:US
Mailing Address - Phone:360-464-9052
Mailing Address - Fax:
Practice Address - Street 1:6831 MARTIN WAY E SPC 28
Practice Address - Street 2:
Practice Address - City:OLYMPIA
Practice Address - State:WA
Practice Address - Zip Code:98516-5552
Practice Address - Country:US
Practice Address - Phone:360-402-1285
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACB61644025106S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106S00000XBehavioral Health & Social Service ProvidersBehavior Technician