Provider Demographics
NPI:1659579886
Name:GINN, RACHEL ANN
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANN
Last Name:GINN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:ANN
Other - Last Name:SOROKIN
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:LPC
Mailing Address - Street 1:108 MOLLY LN
Mailing Address - Street 2:
Mailing Address - City:SITKA
Mailing Address - State:AK
Mailing Address - Zip Code:99835-9751
Mailing Address - Country:US
Mailing Address - Phone:907-738-5722
Mailing Address - Fax:
Practice Address - Street 1:108 MOLLY LN
Practice Address - Street 2:SITKA AK 99835
Practice Address - City:SITKA
Practice Address - State:AK
Practice Address - Zip Code:99835-9751
Practice Address - Country:US
Practice Address - Phone:907-738-5722
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-10
Last Update Date:2025-10-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AK237231101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessionalGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
AKCM4196MedicaidCARE COORDINATOR