Doctor Name: | MISS RACHEL ELIZABETH EPPS |
NPI Number: | 1033587787 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MA |
License Number: | 178.008670 |
Business Practice Address: | 289 83rd Street Suite C Burr Ridge, IL - 60527 |
Business Phone Number: | 6308913027 |
Business Fax Number: | 6304682600 |
Mailing Address: | 1949 W Crystal St # 2, CHICAGO |
State: | IL |
Postal Code: | 606223133 |
Phone Number: | 5739992885 |
Fax Number: | |
NPI Enumeration Date: | 09/11/2015 |
NPI Last Update Date: | 09/11/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 178.008670 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | IL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |