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General NPI Number Information
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NPI Number | 1326992504
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Entity Type | Individual
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Provider Name | RACHELLE MONIQUE CRESPO LAC
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Gender | Female
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Dates
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Enumeration Date | 02/24/2026
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Last Update Date | 02/24/2026
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Provider Practice Location Address
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Address Line | 7453 E CRESCENT CIR
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City | MESA
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State | AZ
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Zip | 85208-2055
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Country | US
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Telephone | 424-245-0993
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Fax |
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Provider Business Mailing Address
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Address Line | 7453 E CRESCENT CIR
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City | MESA
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State | AZ
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Zip | 85208-2055
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Country | US
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Telephone | 424-245-0993
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Fax |
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 101YM0800X
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Taxonomy Name | Mental Health Counselor
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License Number | LAC-23650
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License Number State | AZ
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