Provider Demographics
NPI:1720576978
Name:AUSTIN, RACHEL KATE (LMFT CANDIDATE)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:KATE
Last Name:AUSTIN
Suffix:
Gender:F
Credentials:LMFT CANDIDATE
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:KATE
Other - Last Name:ROBERDS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LMFT CANDIDATE
Mailing Address - Street 1:1707 PROFESSIONAL CIR
Mailing Address - Street 2:
Mailing Address - City:YUKON
Mailing Address - State:OK
Mailing Address - Zip Code:73099-6470
Mailing Address - Country:US
Mailing Address - Phone:405-265-3444
Mailing Address - Fax:405-577-5488
Practice Address - Street 1:1707 PROFESSIONAL CIR
Practice Address - Street 2:
Practice Address - City:YUKON
Practice Address - State:OK
Practice Address - Zip Code:73099-6470
Practice Address - Country:US
Practice Address - Phone:405-265-3444
Practice Address - Fax:405-577-5488
Is Sole Proprietor?:No
Enumeration Date:2018-04-24
Last Update Date:2018-04-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health