Provider Demographics
NPI:1386284958
Name:JONES, RACHEL (LCPC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:JONES
Suffix:
Gender:F
Credentials:LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3579 E 16TH AVE
Mailing Address - Street 2:
Mailing Address - City:POST FALLS
Mailing Address - State:ID
Mailing Address - Zip Code:83854-8925
Mailing Address - Country:US
Mailing Address - Phone:360-536-3340
Mailing Address - Fax:
Practice Address - Street 1:2005 N IRONWOOD PKWY STE 120
Practice Address - Street 2:
Practice Address - City:COEUR D ALENE
Practice Address - State:ID
Practice Address - Zip Code:83814-2647
Practice Address - Country:US
Practice Address - Phone:208-254-1881
Practice Address - Fax:208-712-1653
Is Sole Proprietor?:Yes
Enumeration Date:2020-01-13
Last Update Date:2023-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLCPC-9350101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health