Provider Demographics
NPI:1184024093
Name:HUNTON, RACHEL (LCPC)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:
Last Name:HUNTON
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:KING
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:NCSP, LCPC
Mailing Address - Street 1:1110 BENFIELD BLVD STE H
Mailing Address - Street 2:
Mailing Address - City:MILLERSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21108-2644
Mailing Address - Country:US
Mailing Address - Phone:443-604-1198
Mailing Address - Fax:
Practice Address - Street 1:1110 BENFIELD BLVD
Practice Address - Street 2:
Practice Address - City:MILLERSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21108-2639
Practice Address - Country:US
Practice Address - Phone:410-987-3448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-08-27
Last Update Date:2019-01-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC8901101Y00000X
MD15-1735103TS0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103TS0200XBehavioral Health & Social Service ProvidersPsychologistSchool
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDLC8901OtherDHMD (LCPC)