Provider Demographics
NPI:1699057000
Name:MESSAR HERNANDEZ, RACHEL L (MS, LCPC, NCC)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:L
Last Name:MESSAR HERNANDEZ
Suffix:
Gender:F
Credentials:MS, LCPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:310 VIOLET CT
Mailing Address - Street 2:
Mailing Address - City:MOUNT AIRY
Mailing Address - State:MD
Mailing Address - Zip Code:21771-5207
Mailing Address - Country:US
Mailing Address - Phone:240-246-4917
Mailing Address - Fax:
Practice Address - Street 1:941 RUSSELL AVE
Practice Address - Street 2:SUITE A
Practice Address - City:GAITHERSBURG
Practice Address - State:MD
Practice Address - Zip Code:20879-6205
Practice Address - Country:US
Practice Address - Phone:240-246-4917
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-12
Last Update Date:2011-09-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLC4108101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health