Provider Demographics
NPI:1659689099
Name:ROSSER, RACHAEL N (LPC S)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:N
Last Name:ROSSER
Suffix:
Gender:F
Credentials:LPC S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7963 WOODSTONE LN
Mailing Address - Street 2:
Mailing Address - City:DALLAS
Mailing Address - State:TX
Mailing Address - Zip Code:75248-5353
Mailing Address - Country:US
Mailing Address - Phone:214-766-5399
Mailing Address - Fax:
Practice Address - Street 1:7963 WOODSTONE LN
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75248-5353
Practice Address - Country:US
Practice Address - Phone:214-766-5399
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-20
Last Update Date:2014-04-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional