Provider Demographics
NPI:1821239591
Name:COADY, RACHAEL LINNEA
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:LINNEA
Last Name:COADY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16007 POINT LENA WAY
Mailing Address - Street 2:
Mailing Address - City:JUNEAU
Mailing Address - State:AK
Mailing Address - Zip Code:99801-8364
Mailing Address - Country:US
Mailing Address - Phone:907-723-3437
Mailing Address - Fax:
Practice Address - Street 1:121 SEWARD ST
Practice Address - Street 2:
Practice Address - City:JUNEAU
Practice Address - State:AK
Practice Address - Zip Code:99801-1233
Practice Address - Country:US
Practice Address - Phone:907-723-3437
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-03-10
Last Update Date:2016-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinical