Provider Demographics
NPI:1740577196
Name:METCALF, RACHELLE (LPC)
Entity Type:Individual
Prefix:
First Name:RACHELLE
Middle Name:
Last Name:METCALF
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:216 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:LINDSAY
Mailing Address - State:OK
Mailing Address - Zip Code:73052-5634
Mailing Address - Country:US
Mailing Address - Phone:580-380-3540
Mailing Address - Fax:
Practice Address - Street 1:201 KERBY AVE.
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:OK
Practice Address - Zip Code:73093-9311
Practice Address - Country:US
Practice Address - Phone:580-380-3540
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2023-11-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK4012101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional