Provider Demographics
NPI:1598653255
Name:RACHEL DAGGETT FAMILY THERAPY, A PROFESSIONAL CORPORATION
Entity type:Organization
Organization Name:RACHEL DAGGETT FAMILY THERAPY, A PROFESSIONAL CORPORATION
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:RACHEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DAGGETT
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:310-697-6728
Mailing Address - Street 1:732 VIA OTONO
Mailing Address - Street 2:
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-6011
Mailing Address - Country:US
Mailing Address - Phone:310-697-6728
Mailing Address - Fax:
Practice Address - Street 1:324 AVENIDA DE LA ESTRELLA STE B
Practice Address - Street 2:
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-3987
Practice Address - Country:US
Practice Address - Phone:310-697-6728
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-24
Last Update Date:2025-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)