Provider Demographics
NPI:1346629409
Name:GOSSELIN, RACHEL LYN (LMSW)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:LYN
Last Name:GOSSELIN
Suffix:
Gender:F
Credentials:LMSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47737 VAN DYKE AVE
Mailing Address - Street 2:
Mailing Address - City:SHELBY TOWNSHIP
Mailing Address - State:MI
Mailing Address - Zip Code:48317-3372
Mailing Address - Country:US
Mailing Address - Phone:586-623-8030
Mailing Address - Fax:
Practice Address - Street 1:47737 VAN DYKE AVE
Practice Address - Street 2:
Practice Address - City:SHELBY TOWNSHIP
Practice Address - State:MI
Practice Address - Zip Code:48317-3372
Practice Address - Country:US
Practice Address - Phone:586-623-8030
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-05-22
Last Update Date:2022-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor