MS. RACHEL M. TESREAU LPCC NPI 1851619316

NPI Information

NPI: 1851619316
Provider Name: MS. RACHEL M. TESREAU, LPCC
Classification: Counselor - 101YP2500X
Entity Type: Individual

Specialization: Professional

Address:
2211 MAYFAIR DR
SUITE 409
OWENSBORO, KY
ZIP 42301
Phone: (270) 417-7980
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MS. Rachel M. Tesreau, LPCC is a professional counselor in Owensboro, KY. MS. Rachel M. Tesreau, LPCC NPI is 1851619316. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

2211 MAYFAIR DR
SUITE 409
OWENSBORO, KY
ZIP 42301-568
Phone: (270) 417-7980
Fax: (270) 417-7989

The enumeration date for this NPI number is 5/8/2010 and was last updated on 9/1/2016.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	101YM0800X	Counselor	Mental Health	167219	KENTUCKY	No
2	101YP2500X	Counselor	Professional	167219	KENTUCKY	Yes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.	Other Provider Identifier	Other Provider Identifier Type	Other Provider Identifier State	Other Provider Identifier Issuer
1	7100409750	MEDICAID	KENTUCKY
2	200275200A	MEDICAID	INDIANA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

NPI Synchronization or Removal

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