Provider Demographics
NPI:1912141771
Name:BUSCH, RACHAEL ELLEN (MA, LPC, NCC)
Entity type:Individual
Prefix:MS
First Name:RACHAEL
Middle Name:ELLEN
Last Name:BUSCH
Suffix:
Gender:F
Credentials:MA, LPC, NCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:612 BAYNE ST
Mailing Address - Street 2:
Mailing Address - City:MCKEESPORT
Mailing Address - State:PA
Mailing Address - Zip Code:15132-6405
Mailing Address - Country:US
Mailing Address - Phone:412-298-9305
Mailing Address - Fax:
Practice Address - Street 1:612 BAYNE ST
Practice Address - Street 2:
Practice Address - City:MCKEESPORT
Practice Address - State:PA
Practice Address - Zip Code:15132-6405
Practice Address - Country:US
Practice Address - Phone:412-298-9305
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-23
Last Update Date:2009-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPC005089101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health