Healthcare Provider Details

I. General information

NPI: 1326802760
Provider Name (Legal Business Name): RACHAEL DEMBOWSKI LPC
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 02/07/2024
Last Update Date: 09/17/2026
Certification Date: 09/17/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

145 HARRELL RD STE 111
FREDERICKSBURG VA
22405-4000
US

IV. Provider business mailing address

9 MEADE CT
STAFFORD VA
22554-5181
US

V. Phone/Fax

Practice location:
  • Phone: 732-598-7871
  • Fax:
Mailing address:
  • Phone: 732-598-7871
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number0701013282
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: