Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Holly Raridon

Individual provider Marriage & Family Therapist · NPI 1851656110

Holly Raridon is a Marriage and Family Therapist in Tumwater, Washington. Qualified in 2006, 20 years ago. Practices with Southeast Inc, a 48-clinician group and accepts Medicare assignment. Licensed in Washington.

Years since qualifying
20
Licensed in
WA
In the registry since
2012
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Practice location Address checks out

3285 Ferguson St SW
Tumwater, WA 98512-6154
Phone: (360) 943-1907
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X · Licence LF60852784 (WA)

Record details

NPI number1851656110
Entity typeIndividual (Type 1)
GenderFemale
Sole proprietorNo
NPI enumeratedJuly 11, 2012
Last updated in NPPESFebruary 10, 2020
Certification dateFebruary 10, 2020
Mailing addressPo Box 14339, Tumwater, WA 98511-4339

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyMARRIAGE AND FAMILY THERAPIST
Medical schoolOTHER
Graduated 2006 (20 years in practice)
Group practice Southeast Inc — 48 clinicians
Accepts Medicare assignment Yes — accepts the Medicare-approved amount

Other providers in Tumwater