Provider Demographics
NPI:1649899402
Name:IGOU, RACHEL
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:IGOU
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:PARKER
Other - Last Name:GEEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:15 S 15TH ST APT 2A
Mailing Address - Street 2:
Mailing Address - City:RICHMOND
Mailing Address - State:VA
Mailing Address - Zip Code:23219-4261
Mailing Address - Country:US
Mailing Address - Phone:804-517-8594
Mailing Address - Fax:
Practice Address - Street 1:9201 ARBORETUM PKWY STE 160
Practice Address - Street 2:
Practice Address - City:NORTH CHESTERFIELD
Practice Address - State:VA
Practice Address - Zip Code:23236-5402
Practice Address - Country:US
Practice Address - Phone:804-912-1338
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-04-13
Last Update Date:2020-04-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103K00000XBehavioral Health & Social Service ProvidersBehavior Analyst