Provider Demographics
NPI:1982936548
Name:DOWNS, RACHELLE D'FAWN (LPC)
Entity Type:Individual
Prefix:MRS
First Name:RACHELLE
Middle Name:D'FAWN
Last Name:DOWNS
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2220 PINNACLE DR
Mailing Address - Street 2:
Mailing Address - City:WEATHERFORD
Mailing Address - State:OK
Mailing Address - Zip Code:73096-1050
Mailing Address - Country:US
Mailing Address - Phone:580-309-7961
Mailing Address - Fax:
Practice Address - Street 1:1401 LERA STE 5
Practice Address - Street 2:
Practice Address - City:WEATHERFORD
Practice Address - State:OK
Practice Address - Zip Code:73096-2663
Practice Address - Country:US
Practice Address - Phone:580-309-7961
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-02-08
Last Update Date:2022-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OK2827101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional