Provider Demographics
NPI:1669943452
Name:FLETCHER, RACHEL ELIZABETH (LMHC)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:ELIZABETH
Last Name:FLETCHER
Suffix:
Gender:F
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 NEWPORT ST APT 2
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02125-1224
Mailing Address - Country:US
Mailing Address - Phone:315-945-5502
Mailing Address - Fax:
Practice Address - Street 1:PEMBROKE PARTIAL HOSPITAL PROGRAM
Practice Address - Street 2:20 WINTER STREET
Practice Address - City:PEMBROKE
Practice Address - State:MA
Practice Address - Zip Code:02359
Practice Address - Country:US
Practice Address - Phone:781-829-7134
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-06
Last Update Date:2018-12-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty