Provider Demographics
NPI:1760978142
Name:MCDERMOTT, RACHEL FRANCES (LCPC-C)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:FRANCES
Last Name:MCDERMOTT
Suffix:
Gender:F
Credentials:LCPC-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17 GARY ST
Mailing Address - Street 2:
Mailing Address - City:SOUTH PARIS
Mailing Address - State:ME
Mailing Address - Zip Code:04281-1636
Mailing Address - Country:US
Mailing Address - Phone:207-364-3549
Mailing Address - Fax:207-743-2999
Practice Address - Street 1:17 GARY ST
Practice Address - Street 2:
Practice Address - City:SOUTH PARIS
Practice Address - State:ME
Practice Address - Zip Code:04281-1636
Practice Address - Country:US
Practice Address - Phone:207-364-3549
Practice Address - Fax:207-743-2999
Is Sole Proprietor?:No
Enumeration Date:2018-07-09
Last Update Date:2018-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MECAC6243101YA0400X
MEXL5062101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)