MEDICARE: RACHEL MCEWEN LPCC

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	372600000X	Adult Companion
2	101YM0800X	Mental Health Counselor	E.1700295	OH

General Provider Information

NPI Number	:	1679903215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL MCEWEN LPCC

Provider Business Mailing Address
First Line	:	1239 CENTRAL AVE
Second Line	:
City	:	MIDDLETOWN
State	:	OH
Zip	:	45044-4103
Country	:	US
Telephone Number	:	513-737-1247
Fax Number	:

Provider Business Practice Location Address
First Line	:	1239 CENTRAL AVE
Second Line	:
City	:	MIDDLETOWN
State	:	OH
Zip	:	45044-4103
Country	:	US
Telephone Number	:	513-737-1247
Fax Number	:

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

Provider Enumeration Date	:	11/18/2013
Last Update Date	:	07/21/2022

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Directions to “ RACHEL MCEWEN LPCC” Practice Location

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