Provider Demographics
NPI:1467291302
Name:HODGDON, RACHEL L (LPC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:L
Last Name:HODGDON
Suffix:
Gender:F
Credentials:LPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:12343 HYMEADOW DR STE 3E
Mailing Address - Street 2:
Mailing Address - City:AUSTIN
Mailing Address - State:TX
Mailing Address - Zip Code:78750-1858
Mailing Address - Country:US
Mailing Address - Phone:512-861-4154
Mailing Address - Fax:
Practice Address - Street 1:12343 HYMEADOW DR STE 3E
Practice Address - Street 2:
Practice Address - City:AUSTIN
Practice Address - State:TX
Practice Address - Zip Code:78750-1858
Practice Address - Country:US
Practice Address - Phone:512-861-4154
Practice Address - Fax:737-787-3714
Is Sole Proprietor?:No
Enumeration Date:2024-05-21
Last Update Date:2024-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX88303101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health