Provider Demographics
NPI:1598434599
Name:TERRELL, RACHEL (LCPC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:TERRELL
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 1:14530 JONES LN
Mailing Address - Street 2:
Mailing Address - City:GAITHERSBURG
Mailing Address - State:MD
Mailing Address - Zip Code:20878-3733
Mailing Address - Country:US
Mailing Address - Phone:352-682-8289
Mailing Address - Fax:
Practice Address - Street 1:6000 EXECUTIVE BLVD STE 602
Practice Address - Street 2:
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-3820
Practice Address - Country:US
Practice Address - Phone:240-551-0725
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-13
Last Update Date:2024-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC13871101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional