Provider Demographics
NPI:1801789359
Name:PARKER, RACHEL MARIAN (MED PPSC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:MARIAN
Last Name:PARKER
Suffix:
Gender:F
Credentials:MED PPSC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:84 E J ST
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91910-6115
Mailing Address - Country:US
Mailing Address - Phone:619-425-9600
Mailing Address - Fax:
Practice Address - Street 1:2175 PROCTOR VALLEY RD
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91914-4026
Practice Address - Country:US
Practice Address - Phone:619-397-5225
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2025-06-02
Last Update Date:2025-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YS0200XBehavioral Health & Social Service ProvidersCounselorSchool