Provider Demographics
NPI:1962143768
Name:SOMMERFIELD, RACHEL (LPC-S)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:SOMMERFIELD
Suffix:
Gender:F
Credentials:LPC-S
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1022 W INA RD STE 106
Mailing Address - Street 2:
Mailing Address - City:TUCSON
Mailing Address - State:AZ
Mailing Address - Zip Code:85704-3109
Mailing Address - Country:US
Mailing Address - Phone:520-509-5317
Mailing Address - Fax:
Practice Address - Street 1:1022 W INA RD STE 106
Practice Address - Street 2:
Practice Address - City:TUCSON
Practice Address - State:AZ
Practice Address - Zip Code:85704-3109
Practice Address - Country:US
Practice Address - Phone:520-509-5317
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-04-05
Last Update Date:2024-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZLPC-21760101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty