Provider Demographics
NPI:1437227477
Name:HARRISON, RACHEL (LCPC, NCC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HARRISON
Suffix:
Gender:F
Credentials:LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:124 N COURT ST
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21701-6614
Mailing Address - Country:US
Mailing Address - Phone:301-304-7108
Mailing Address - Fax:301-732-7336
Practice Address - Street 1:124 N COURT ST
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-6614
Practice Address - Country:US
Practice Address - Phone:301-304-7108
Practice Address - Fax:301-732-7336
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-30
Last Update Date:2023-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEPC0011086101YP2500X
PAPC014875101YP2500X
COLPC0011146101YP2500X
MDLC1528101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD401547900Medicaid