Provider Demographics
NPI:1639313794
Name:POWERS, RACHEL HELEN (MA, LCPC, NCC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:HELEN
Last Name:POWERS
Suffix:
Gender:F
Credentials:MA, LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5133 WASHINGTON ST
Mailing Address - Street 2:SUITE 8
Mailing Address - City:DOWNERS GROVE
Mailing Address - State:IL
Mailing Address - Zip Code:60515-4788
Mailing Address - Country:US
Mailing Address - Phone:312-912-1448
Mailing Address - Fax:
Practice Address - Street 1:5133 WASHINGTON ST
Practice Address - Street 2:SUITE 8
Practice Address - City:DOWNERS GROVE
Practice Address - State:IL
Practice Address - Zip Code:60515-4788
Practice Address - Country:US
Practice Address - Phone:312-912-1448
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-20
Last Update Date:2009-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL180007073101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional