Provider Demographics
NPI:1508105594
Name:MARCHETTE, RACHAEL (CACP, LPCI)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:
Last Name:MARCHETTE
Suffix:
Gender:F
Credentials:CACP, LPCI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:601 GREGG AVE
Mailing Address - Street 2:
Mailing Address - City:FLORENCE
Mailing Address - State:SC
Mailing Address - Zip Code:29501-4316
Mailing Address - Country:US
Mailing Address - Phone:843-665-9349
Mailing Address - Fax:843-669-6122
Practice Address - Street 1:601 GREGG AVE
Practice Address - Street 2:
Practice Address - City:FLORENCE
Practice Address - State:SC
Practice Address - Zip Code:29501-4316
Practice Address - Country:US
Practice Address - Phone:843-665-9349
Practice Address - Fax:843-669-6122
Is Sole Proprietor?:No
Enumeration Date:2013-02-11
Last Update Date:2013-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC5551101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor