Provider Demographics
NPI:1932220571
Name:RACHAL-PEARSON, ANITA MARIE (CCDC)
Entity Type:Individual
Prefix:MS
First Name:ANITA
Middle Name:MARIE
Last Name:RACHAL-PEARSON
Suffix:
Gender:F
Credentials:CCDC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:15903 LAKEWOOD BLVD
Mailing Address - Street 2:UNIT# 245
Mailing Address - City:BELLFLOWER
Mailing Address - State:CA
Mailing Address - Zip Code:90706-4300
Mailing Address - Country:US
Mailing Address - Phone:562-895-8364
Mailing Address - Fax:562-498-1713
Practice Address - Street 1:4801 E ANAHEIM ST
Practice Address - Street 2:
Practice Address - City:LONG BEACH
Practice Address - State:CA
Practice Address - Zip Code:90804-3210
Practice Address - Country:US
Practice Address - Phone:562-597-5300
Practice Address - Fax:562-597-5330
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2010-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA190498AN101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)