Provider Demographics
NPI:1871455519
Name:FUQUA, RACHEL ANGELINE (MFTC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:ANGELINE
Last Name:FUQUA
Suffix:
Gender:F
Credentials:MFTC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18121 E HAMPDEN AVE UNIT C
Mailing Address - Street 2:
Mailing Address - City:AURORA
Mailing Address - State:CO
Mailing Address - Zip Code:80013-3591
Mailing Address - Country:US
Mailing Address - Phone:720-277-9808
Mailing Address - Fax:
Practice Address - Street 1:18121 E HAMPDEN AVE UNIT C
Practice Address - Street 2:
Practice Address - City:AURORA
Practice Address - State:CO
Practice Address - Zip Code:80013-3591
Practice Address - Country:US
Practice Address - Phone:720-277-9808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-12-01
Last Update Date:2025-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
COMFTC.0014849106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist