Provider Demographics
NPI:1003223868
Name:HAMMER, RACHEL VIOLA MARDRE (LCMHC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:VIOLA MARDRE
Last Name:HAMMER
Suffix:
Gender:F
Credentials:LCMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:117 N POPLAR ST
Mailing Address - Street 2:
Mailing Address - City:LINCOLNTON
Mailing Address - State:NC
Mailing Address - Zip Code:28092-3315
Mailing Address - Country:US
Mailing Address - Phone:704-754-4726
Mailing Address - Fax:704-754-4726
Practice Address - Street 1:117 N POPLAR ST
Practice Address - Street 2:
Practice Address - City:LINCOLNTON
Practice Address - State:NC
Practice Address - Zip Code:28092-3315
Practice Address - Country:US
Practice Address - Phone:704-754-4726
Practice Address - Fax:704-754-4726
Is Sole Proprietor?:No
Enumeration Date:2014-07-14
Last Update Date:2021-07-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA10845101YP2500X
NC10845101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional