Provider Demographics
NPI:1639612575
Name:MARLETTE, RACHELE (MSW)
Entity Type:Individual
Prefix:
First Name:RACHELE
Middle Name:
Last Name:MARLETTE
Suffix:
Gender:F
Credentials:MSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:455 S GRANDBY CT
Mailing Address - Street 2:
Mailing Address - City:CLIFTON
Mailing Address - State:CO
Mailing Address - Zip Code:81520-8343
Mailing Address - Country:US
Mailing Address - Phone:970-314-6675
Mailing Address - Fax:
Practice Address - Street 1:1000 N 9TH ST
Practice Address - Street 2:
Practice Address - City:GRAND JUNCTION
Practice Address - State:CO
Practice Address - Zip Code:81501-3155
Practice Address - Country:US
Practice Address - Phone:970-314-6675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-27
Last Update Date:2019-04-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO0009921074104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker