Provider Demographics
NPI:1659136893
Name:DALRYMPLE, RACHEL MEGAN
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:MEGAN
Last Name:DALRYMPLE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1233 DEALYNN ST # 8
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95825-3593
Mailing Address - Country:US
Mailing Address - Phone:916-829-6506
Mailing Address - Fax:
Practice Address - Street 1:1233 DEALYNN ST # 8
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-3593
Practice Address - Country:US
Practice Address - Phone:916-829-6506
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-16
Last Update Date:2024-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)