Provider Demographics
NPI:1023167657
Name:RAICHE, JOELLA ANN (MED, LMHC)
Entity type:Individual
Prefix:MS
First Name:JOELLA
Middle Name:ANN
Last Name:RAICHE
Suffix:
Gender:F
Credentials:MED, LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 LYMAN TER
Mailing Address - Street 2:
Mailing Address - City:SOUTH HADLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01075-2623
Mailing Address - Country:US
Mailing Address - Phone:413-221-0112
Mailing Address - Fax:
Practice Address - Street 1:45 LYMAN TER
Practice Address - Street 2:
Practice Address - City:SOUTH HADLEY
Practice Address - State:MA
Practice Address - Zip Code:01075-2623
Practice Address - Country:US
Practice Address - Phone:413-459-2825
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-10
Last Update Date:2022-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health