Provider Demographics
NPI:1477214062
Name:ESCARENO, RACHAEL A (LLPC, NCC, CTP)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:A
Last Name:ESCARENO
Suffix:
Gender:F
Credentials:LLPC, NCC, CTP
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:A
Other - Last Name:ESCARENO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:2835 CARPENTER RD STE 5
Mailing Address - Street 2:
Mailing Address - City:ANN ARBOR
Mailing Address - State:MI
Mailing Address - Zip Code:48108-1172
Mailing Address - Country:US
Mailing Address - Phone:734-391-9056
Mailing Address - Fax:
Practice Address - Street 1:2835 CARPENTER RD STE 5
Practice Address - Street 2:
Practice Address - City:ANN ARBOR
Practice Address - State:MI
Practice Address - Zip Code:48108-1172
Practice Address - Country:US
Practice Address - Phone:313-444-5581
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-01-05
Last Update Date:2023-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI6451022040101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health