Provider Demographics
NPI:1639681596
Name:KUDLER, RACHEL LEE (LCSW)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:LEE
Last Name:KUDLER
Suffix:
Gender:F
Credentials:LCSW
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:73 RUSSELL CHAPEL CHURCH RD
Mailing Address - Street 2:
Mailing Address - City:PITTSBORO
Mailing Address - State:NC
Mailing Address - Zip Code:27312-7545
Mailing Address - Country:US
Mailing Address - Phone:919-656-0352
Mailing Address - Fax:
Practice Address - Street 1:5318 HIGHGATE DR STE 231
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27713-6631
Practice Address - Country:US
Practice Address - Phone:919-416-0800
Practice Address - Fax:919-416-0804
Is Sole Proprietor?:Yes
Enumeration Date:2017-11-01
Last Update Date:2017-11-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCC0063071041C0700X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical