Provider Demographics
NPI:1407085806
Name:DENNIS, RACHEL A (LMHC)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:A
Last Name:DENNIS
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1341 BERTRAM ST
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52403-9001
Mailing Address - Country:US
Mailing Address - Phone:319-866-6000
Mailing Address - Fax:
Practice Address - Street 1:1341 BERTRAM ST
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52403-9001
Practice Address - Country:US
Practice Address - Phone:319-866-6000
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-07
Last Update Date:2009-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IA0001208101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health