Provider Demographics
NPI:1780038646
Name:DINE, RACHEL ANN (LMHC)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:DINE
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANN
Other - Last Name:HAARALA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC
Mailing Address - Street 1:816 GREENBRIER CIR STE 209
Mailing Address - Street 2:
Mailing Address - City:CHESAPEAKE
Mailing Address - State:VA
Mailing Address - Zip Code:23320-2642
Mailing Address - Country:US
Mailing Address - Phone:850-469-3500
Mailing Address - Fax:850-595-1400
Practice Address - Street 1:816 GREENBRIER CIR STE 209
Practice Address - Street 2:
Practice Address - City:CHESAPEAKE
Practice Address - State:VA
Practice Address - Zip Code:23320-2642
Practice Address - Country:US
Practice Address - Phone:577-397-6771
Practice Address - Fax:757-739-6771
Is Sole Proprietor?:No
Enumeration Date:2016-04-18
Last Update Date:2018-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMH14115101YM0800X
VA0701006922101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health