Provider Demographics
NPI:1689777518
Name:KOK, RACHEL WOOI (MA)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:WOOI
Last Name:KOK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:WOOI
Other - Middle Name:
Other - Last Name:KOK
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:MFT
Mailing Address - Street 1:PO BOX 2090
Mailing Address - Street 2:
Mailing Address - City:MENIFEE
Mailing Address - State:CA
Mailing Address - Zip Code:92586-1090
Mailing Address - Country:US
Mailing Address - Phone:951-373-0093
Mailing Address - Fax:619-866-6075
Practice Address - Street 1:27070 SUN CITY BLVD
Practice Address - Street 2:
Practice Address - City:MENIFEE
Practice Address - State:CA
Practice Address - Zip Code:92586-2509
Practice Address - Country:US
Practice Address - Phone:951-373-0093
Practice Address - Fax:619-866-6075
Is Sole Proprietor?:Yes
Enumeration Date:2006-09-06
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA42664106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist