Provider Demographics
NPI:1215521729
Name:OCHIENG, RACHEL A (MA, LAC, NCC)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:A
Last Name:OCHIENG
Suffix:
Gender:F
Credentials:MA, LAC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:30 MORAN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:NEWTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07860-1832
Mailing Address - Country:US
Mailing Address - Phone:973-862-6066
Mailing Address - Fax:973-862-6048
Practice Address - Street 1:30 MORAN ST STE 2
Practice Address - Street 2:
Practice Address - City:NEWTON
Practice Address - State:NJ
Practice Address - Zip Code:07860-1832
Practice Address - Country:US
Practice Address - Phone:973-862-6066
Practice Address - Fax:973-862-6048
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-24
Last Update Date:2021-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ37AC00535500101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty