Provider Demographics
NPI:1447951116
Name:RECTOR, NATASHA (LSWAIC)
Entity type:Individual
Prefix:
First Name:NATASHA
Middle Name:
Last Name:RECTOR
Suffix:
Gender:F
Credentials:LSWAIC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11553 HOLMES POINT DR NE
Mailing Address - Street 2:
Mailing Address - City:KIRKLAND
Mailing Address - State:WA
Mailing Address - Zip Code:98034-3446
Mailing Address - Country:US
Mailing Address - Phone:817-841-0922
Mailing Address - Fax:817-841-0922
Practice Address - Street 1:11553 HOLMES POINT DR NE
Practice Address - Street 2:
Practice Address - City:KIRKLAND
Practice Address - State:WA
Practice Address - Zip Code:98034-3446
Practice Address - Country:US
Practice Address - Phone:360-685-7334
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-03-10
Last Update Date:2024-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC613411851041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical