Healthcare Provider Details

I. General information

NPI: 1235076274
Provider Name (Legal Business Name): RACHEL DEMARIA LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/29/2026
Last Update Date: 04/29/2026
Certification Date: 04/29/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1156 FRANKLIN RD
JACKSON CENTER PA
16133-2006
US

IV. Provider business mailing address

1156 FRANKLIN RD
JACKSON CENTER PA
16133-2006
US

V. Phone/Fax

Practice location:
  • Phone: 724-301-1994
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License NumberPC019203
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: