Provider Demographics
NPI:1487118055
Name:RIGBY, MALLORY JEAN (LMHC)
Entity type:Individual
Prefix:
First Name:MALLORY
Middle Name:JEAN
Last Name:RIGBY
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11700 MUKILTEO SPEEDWAY
Mailing Address - Street 2:STE 201 #5022
Mailing Address - City:MUKILTEO
Mailing Address - State:WA
Mailing Address - Zip Code:98275-5436
Mailing Address - Country:US
Mailing Address - Phone:425-276-0651
Mailing Address - Fax:
Practice Address - Street 1:5007 CLAREMONT WAY
Practice Address - Street 2:
Practice Address - City:EVERETT
Practice Address - State:WA
Practice Address - Zip Code:98203-3321
Practice Address - Country:US
Practice Address - Phone:425-347-5415
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-01-28
Last Update Date:2023-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA60895654101YM0800X
WA61084303101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health