Provider Demographics
NPI:1265031728
Name:HOOVER, RACHEL CHECHE (LMFT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:CHECHE
Last Name:HOOVER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10640 PAGE AVE STE 330
Mailing Address - Street 2:
Mailing Address - City:FAIRFAX
Mailing Address - State:VA
Mailing Address - Zip Code:22030-4012
Mailing Address - Country:US
Mailing Address - Phone:757-630-1315
Mailing Address - Fax:
Practice Address - Street 1:1118 CROZET AVE
Practice Address - Street 2:
Practice Address - City:CROZET
Practice Address - State:VA
Practice Address - Zip Code:22932-3130
Practice Address - Country:US
Practice Address - Phone:757-630-1315
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-25
Last Update Date:2023-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0730000264106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist