Provider Demographics
NPI:1447801675
Name:CALABRESE, RACHEL A (MA, LAC, NCC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:CALABRESE
Suffix:
Gender:F
Credentials:MA, LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:62 JAY DR
Mailing Address - Street 2:
Mailing Address - City:PARAMUS
Mailing Address - State:NJ
Mailing Address - Zip Code:07652-2320
Mailing Address - Country:US
Mailing Address - Phone:551-206-2405
Mailing Address - Fax:
Practice Address - Street 1:70 W ALLENDALE AVE
Practice Address - Street 2:FL 2, SUITE D
Practice Address - City:ALLENDALE
Practice Address - State:NJ
Practice Address - Zip Code:07401-1798
Practice Address - Country:US
Practice Address - Phone:201-574-8522
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-09-29
Last Update Date:2019-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00413300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health