Provider Demographics
NPI:1093020976
Name:DONNELLY-MORRISON, RACHEL ANNE (LCSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANNE
Last Name:DONNELLY-MORRISON
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:385 GARRISONVILLE RD
Mailing Address - Street 2:SUITE 112
Mailing Address - City:STAFFORD
Mailing Address - State:VA
Mailing Address - Zip Code:22554-1545
Mailing Address - Country:US
Mailing Address - Phone:540-658-9122
Mailing Address - Fax:540-658-9222
Practice Address - Street 1:385 GARRISONVILLE RD
Practice Address - Street 2:SUITE 112
Practice Address - City:STAFFORD
Practice Address - State:VA
Practice Address - Zip Code:22554-1545
Practice Address - Country:US
Practice Address - Phone:540-658-9122
Practice Address - Fax:540-658-9222
Is Sole Proprietor?:Yes
Enumeration Date:2010-08-16
Last Update Date:2010-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0904006989101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health