Provider Demographics
NPI:1215471784
Name:BELLOW, RACHEL (LPC, NCC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:BELLOW
Suffix:
Gender:F
Credentials:LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 651
Mailing Address - Street 2:
Mailing Address - City:LINCOLN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07035-0651
Mailing Address - Country:US
Mailing Address - Phone:973-572-2210
Mailing Address - Fax:
Practice Address - Street 1:601 JEFFERSON RD
Practice Address - Street 2:
Practice Address - City:PARSIPPANY
Practice Address - State:NJ
Practice Address - Zip Code:07054-3790
Practice Address - Country:US
Practice Address - Phone:973-572-2210
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-12-18
Last Update Date:2022-05-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00338600101YM0800X
NJ37PC00749300101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health