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NPI Code Detail

MEDICARE: RACHAEL ANDERSON LCPC

MEDICARE: RACHAEL ANDERSON LCPC
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1101YP2500XProfessional CounselorLCPC-9632ID
2101YP2500XProfessional CounselorLPC-7733ID

General Provider Information

NPI Number : 1437766805
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL ANDERSON LCPC
Provider Business Mailing Address
First Line : 110 COLLEGE DR
Second Line :
City : MARSHALLTOWN
State : IA
Zip : 50158-9139
Country : US
Telephone Number : 319-671-1094
Fax Number :
Provider Business Practice Location Address
First Line : 545 N BENJAMIN LN STE 185
Second Line :
City : BOISE
State : ID
Zip : 83704-9625
Country : US
Telephone Number : 208-322-1026
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/29/2020
Last Update Date : 11/08/2023

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Directions to “ RACHAEL ANDERSON LCPC” Practice Location

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