Provider Demographics
NPI:1063752525
Name:WOLLMANN, RACHEL CHOI (LMHC)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:CHOI
Last Name:WOLLMANN
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 1:1330 WILDER AVE APT 106
Mailing Address - Street 2:
Mailing Address - City:HONOLULU
Mailing Address - State:HI
Mailing Address - Zip Code:96822-4270
Mailing Address - Country:US
Mailing Address - Phone:808-735-7625
Mailing Address - Fax:
Practice Address - Street 1:1330 WILDER AVE APT 106
Practice Address - Street 2:
Practice Address - City:HONOLULU
Practice Address - State:HI
Practice Address - Zip Code:96822-4270
Practice Address - Country:US
Practice Address - Phone:808-735-7625
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-20
Last Update Date:2013-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
HIMHC-182101YM0800X, 101YP1600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No101YP1600XBehavioral Health & Social Service ProvidersCounselorPastoral