Provider Demographics
NPI:1962787358
Name:RINALDO, ANGELA MARIE (MA)
Entity type:Individual
Prefix:
First Name:ANGELA
Middle Name:MARIE
Last Name:RINALDO
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1600 E OLIVE ST
Mailing Address - Street 2:6100 SOUTHCENTER BLVD
Mailing Address - City:SEATTLE
Mailing Address - State:WA
Mailing Address - Zip Code:98122-2735
Mailing Address - Country:US
Mailing Address - Phone:206-444-7805
Mailing Address - Fax:206-444-7810
Practice Address - Street 1:1600 E OLIVE ST
Practice Address - Street 2:6100 SOUTHCENTER BLVD
Practice Address - City:SEATTLE
Practice Address - State:WA
Practice Address - Zip Code:98122-2735
Practice Address - Country:US
Practice Address - Phone:206-444-7805
Practice Address - Fax:206-444-7810
Is Sole Proprietor?:No
Enumeration Date:2011-10-17
Last Update Date:2021-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WACL60175249101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101Y00000XBehavioral Health & Social Service ProvidersCounselor