Provider Demographics
NPI:1598434599
Name:TERRELL, RACHEL (LGPC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:TERRELL
Suffix:
Gender:F
Credentials:LGPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:21 BYTE CT STE G
Mailing Address - Street 2:
Mailing Address - City:FREDERICK
Mailing Address - State:MD
Mailing Address - Zip Code:21702-8724
Mailing Address - Country:US
Mailing Address - Phone:301-846-7872
Mailing Address - Fax:
Practice Address - Street 1:21 BYTE CT STE G
Practice Address - Street 2:
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21702-8724
Practice Address - Country:US
Practice Address - Phone:301-846-7872
Practice Address - Fax:301-846-7973
Is Sole Proprietor?:No
Enumeration Date:2021-09-13
Last Update Date:2021-09-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP11831101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional