Provider Demographics
NPI:1265119945
Name:SCHRICK, RACHEL (MA)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:SCHRICK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:RAE
Other - Middle Name:
Other - Last Name:SCHRICK
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA
Mailing Address - Street 1:PO BOX 2352
Mailing Address - Street 2:
Mailing Address - City:COSTA MESA
Mailing Address - State:CA
Mailing Address - Zip Code:92628-2352
Mailing Address - Country:US
Mailing Address - Phone:949-414-4418
Mailing Address - Fax:
Practice Address - Street 1:1000 QUAIL ST STE 242
Practice Address - Street 2:
Practice Address - City:NEWPORT BEACH
Practice Address - State:CA
Practice Address - Zip Code:92660-2749
Practice Address - Country:US
Practice Address - Phone:949-414-4418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-07-03
Last Update Date:2023-10-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAAMFT142130106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist