Provider Demographics
NPI:1942885686
Name:BRITTINGHAM, RACHEL MARY (LPC, NCC, CCTP)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:MARY
Last Name:BRITTINGHAM
Suffix:
Gender:F
Credentials:LPC, NCC, CCTP
Other - Prefix:MS
Other - First Name:RACHEL
Other - Middle Name:MARY
Other - Last Name:VITOLO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:LPC, NCC, CCTP
Mailing Address - Street 1:1025 N. EASTON ROAD
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090
Mailing Address - Country:US
Mailing Address - Phone:215-550-1477
Mailing Address - Fax:
Practice Address - Street 1:216 E MONUMENT AVE
Practice Address - Street 2:
Practice Address - City:HATBORO
Practice Address - State:PA
Practice Address - Zip Code:19040-2710
Practice Address - Country:US
Practice Address - Phone:215-550-1477
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-03-15
Last Update Date:2023-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC013094101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional