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NPI Code Detail

MEDICARE: MRS. RACHEL ELIZABETH COULTER MS

MEDICARE:  MRS. RACHEL ELIZABETH COULTER  MS
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
1104100000XSocial Worker
2106H00000XMarriage & Family TherapistLMFT99195CA
3106H00000XMarriage & Family TherapistIMF77059CA
4101YP2500XProfessional CounselorIMF 77059CA
5101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1801103718
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. RACHEL ELIZABETH COULTER MS
Provider Business Mailing Address
First Line : 2271 ALPINE BLVD STE A
Second Line :
City : ALPINE
State : CA
Zip : 91901-1101
Country : US
Telephone Number : 909-749-8382
Fax Number :
Provider Business Practice Location Address
First Line : 701 W KIMBERLY AVE STE 263
Second Line :
City : PLACENTIA
State : CA
Zip : 92870-6342
Country : US
Telephone Number : 888-688-0248
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/13/2010
Last Update Date : 01/16/2026

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