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NPI Code Detail

MEDICARE: RACHEL PAIGE LETWIN LPC-CR, CFLE

MEDICARE: RACHEL PAIGE LETWIN LPC-CR, CFLE
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
1101YM0800XMental Health CounselorC1300382OH

General Provider Information

NPI Number : 1053701011
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL PAIGE LETWIN LPC-CR, CFLE
Provider Business Mailing Address
First Line : 424 W WOODRUFF AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43604-5027
Country : US
Telephone Number : 419-255-4050
Fax Number :
Provider Business Practice Location Address
First Line : 424 W WOODRUFF AVE
Second Line :
City : TOLEDO
State : OH
Zip : 43604-5027
Country : US
Telephone Number : 419-255-4050
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 01/29/2015
Last Update Date : 01/29/2015

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