Provider Demographics
NPI:1700406006
Name:PARKER, RACHEL JEAN (CPC)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:JEAN
Last Name:PARKER
Suffix:
Gender:F
Credentials:CPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 863
Mailing Address - Street 2:
Mailing Address - City:SHELTON
Mailing Address - State:WA
Mailing Address - Zip Code:98584-0863
Mailing Address - Country:US
Mailing Address - Phone:360-999-1277
Mailing Address - Fax:
Practice Address - Street 1:601 W FRANKLIN ST
Practice Address - Street 2:
Practice Address - City:SHELTON
Practice Address - State:WA
Practice Address - Zip Code:98584-3518
Practice Address - Country:US
Practice Address - Phone:360-462-3016
Practice Address - Fax:360-719-1709
Is Sole Proprietor?:No
Enumeration Date:2020-04-16
Last Update Date:2022-08-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes175T00000XOther Service ProvidersPeer Specialist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor