Provider Demographics
NPI:1962210880
Name:CWIEK, RHENA-DAE (MA, LMHCA, LMFTA)
Entity type:Individual
Prefix:MS
First Name:RHENA-DAE
Middle Name:
Last Name:CWIEK
Suffix:
Gender:F
Credentials:MA, LMHCA, LMFTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1409 140TH PL NE STE 107
Mailing Address - Street 2:
Mailing Address - City:BELLEVUE
Mailing Address - State:WA
Mailing Address - Zip Code:98007-3963
Mailing Address - Country:US
Mailing Address - Phone:253-220-7427
Mailing Address - Fax:206-201-1046
Practice Address - Street 1:1409 140TH PL NE STE 107
Practice Address - Street 2:
Practice Address - City:BELLEVUE
Practice Address - State:WA
Practice Address - Zip Code:98007-3963
Practice Address - Country:US
Practice Address - Phone:253-220-7427
Practice Address - Fax:206-201-1046
Is Sole Proprietor?:Yes
Enumeration Date:2024-12-23
Last Update Date:2024-12-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WAMC61569492101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor