Provider Demographics
NPI:1942842497
Name:CONSIDINE, RACHAEL BLAIR (MS)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:BLAIR
Last Name:CONSIDINE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6910 WARD RD
Mailing Address - Street 2:
Mailing Address - City:NIAGARA FALLS
Mailing Address - State:NY
Mailing Address - Zip Code:14304-4568
Mailing Address - Country:US
Mailing Address - Phone:716-430-9491
Mailing Address - Fax:
Practice Address - Street 1:620 TRONOLONE PL
Practice Address - Street 2:
Practice Address - City:NIAGARA FALLS
Practice Address - State:NY
Practice Address - Zip Code:14301-1910
Practice Address - Country:US
Practice Address - Phone:716-205-0825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-10-16
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY013231101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health