Provider Demographics
NPI:1194499350
Name:ARCHER, RACHEL MICHELLE (MA, LPC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MICHELLE
Last Name:ARCHER
Suffix:
Gender:F
Credentials:MA, LPC
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:MICHELLE
Other - Last Name:JACOBSEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LPCC
Mailing Address - Street 1:1837 AUSTIN BLUFFS PKWY STE 101
Mailing Address - Street 2:
Mailing Address - City:COLORADO SPRINGS
Mailing Address - State:CO
Mailing Address - Zip Code:80918-7800
Mailing Address - Country:US
Mailing Address - Phone:435-503-5875
Mailing Address - Fax:
Practice Address - Street 1:1837 AUSTIN BLUFFS PKWY STE 101
Practice Address - Street 2:
Practice Address - City:COLORADO SPRINGS
Practice Address - State:CO
Practice Address - Zip Code:80918-7800
Practice Address - Country:US
Practice Address - Phone:719-344-9438
Practice Address - Fax:719-313-9665
Is Sole Proprietor?:Yes
Enumeration Date:2021-08-02
Last Update Date:2022-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COLPC.0019236101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional