Doctor Name: | MRS. RUSTINE ROQUEL SNOW |
NPI Number: | 1265658074 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA, RC |
License Number: | RC00045317 |
Business Practice Address: | 17910 Talbot Rd S Ste 102 Renton, WA - 980556237 |
Business Phone Number: | 4257619700 |
Business Fax Number: | |
Mailing Address: | 34221 136th Ave Se, AUBURN |
State: | WA |
Postal Code: | 980928501 |
Phone Number: | 2538331754 |
Fax Number: | |
NPI Enumeration Date: | 04/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101Y00000X |
License Number: | RC00045317 |
Healthcare Provider Taxonomy: (Secondary) | X |
State: | WA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | |
Taxonomy Definition: | A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master |