MEDICARE: RACHAEL LAUREN CORCHINE

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
1	101Y00000X	Counselor	LAC-23246	AZ

General Provider Information

NPI Number	:	1053960757
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL LAUREN CORCHINE

Provider Business Mailing Address
First Line	:	2121 N GRACE BLVD UNIT 100
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85225-0606
Country	:	US
Telephone Number	:	505-205-8464
Fax Number	:

Provider Business Practice Location Address
First Line	:	3377 S PRICE RD STE 110
Second Line	:
City	:	CHANDLER
State	:	AZ
Zip	:	85248-3578
Country	:	US
Telephone Number	:	480-280-8888
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/05/2019
Last Update Date	:	01/24/2025

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Directions to “ RACHAEL LAUREN CORCHINE ” Practice Location

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