Provider Demographics
NPI:1326075151
Name:WILLS, RACHEL DUNTON (LPC, LMFT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:DUNTON
Last Name:WILLS
Suffix:
Gender:F
Credentials:LPC, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6501 MECHANICSVILLE TPKE
Mailing Address - Street 2:SUITE 105
Mailing Address - City:MECHANICSVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23111-3698
Mailing Address - Country:US
Mailing Address - Phone:804-559-7719
Mailing Address - Fax:804-559-7723
Practice Address - Street 1:6501 MECHANICSVILLE TPKE
Practice Address - Street 2:SUITE 105
Practice Address - City:MECHANICSVILLE
Practice Address - State:VA
Practice Address - Zip Code:23111-3698
Practice Address - Country:US
Practice Address - Phone:804-559-7719
Practice Address - Fax:804-559-7723
Is Sole Proprietor?:No
Enumeration Date:2006-06-27
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701001355101YP2500X
VA0717000400106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Not Answered106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA433887OtherANTHEM PROVIDER NUMBER
VA89973OtherSENTARA PROVIDER NUMBER