Provider Demographics
NPI:1922146737
Name:PALMER, RASEL L (LMFT)
Entity Type:Individual
Prefix:MR
First Name:RASEL
Middle Name:L
Last Name:PALMER
Suffix:
Gender:M
Credentials:LMFT
Other - Prefix:MR
Other - First Name:REESE
Other - Middle Name:L
Other - Last Name:PALMER
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:8 WHITHORN WAY
Mailing Address - Street 2:
Mailing Address - City:BLYTHEWOOD
Mailing Address - State:SC
Mailing Address - Zip Code:29016
Mailing Address - Country:US
Mailing Address - Phone:203-243-1986
Mailing Address - Fax:
Practice Address - Street 1:8 WHITHORN WAY
Practice Address - Street 2:
Practice Address - City:BLYTHEWOOD
Practice Address - State:SC
Practice Address - Zip Code:29016-9092
Practice Address - Country:US
Practice Address - Phone:203-243-1986
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-02-02
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37FI0017990106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist