Provider Demographics
NPI:1568108470
Name:HALEY, RACHEL TRICARICO (LPC)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:TRICARICO
Last Name:HALEY
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:MISS
Other - First Name:RACHEL
Other - Middle Name:MERCIRA
Other - Last Name:TRICARICO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1100 PARSIPPANY BLVD APT 144
Mailing Address - Street 2:
Mailing Address - City:PARSIPPANY
Mailing Address - State:NJ
Mailing Address - Zip Code:07054-1837
Mailing Address - Country:US
Mailing Address - Phone:973-986-1776
Mailing Address - Fax:
Practice Address - Street 1:860 BLOOMFIELD AVE
Practice Address - Street 2:
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-7106
Practice Address - Country:US
Practice Address - Phone:973-986-1776
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-05-12
Last Update Date:2022-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37PC00845900101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional