MEDICARE: RACHEL HELEN POWERS MA, LCPC, NCC

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	101YP2500X	Professional Counselor	180007073	IL

General Provider Information

NPI Number	:	1639313794
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL HELEN POWERS MA, LCPC, NCC

Provider Business Mailing Address
First Line	:	5133 WASHINGTON ST
Second Line	:	SUITE 8
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-4788
Country	:	US
Telephone Number	:	312-912-1448
Fax Number	:

Provider Business Practice Location Address
First Line	:	5133 WASHINGTON ST
Second Line	:	SUITE 8
City	:	DOWNERS GROVE
State	:	IL
Zip	:	60515-4788
Country	:	US
Telephone Number	:	312-912-1448
Fax Number	:

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

Provider Enumeration Date	:	04/20/2009
Last Update Date	:	04/20/2009

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