Provider Demographics
NPI:1871800540
Name:OSTROWSKI, RACHAEL OLIVIA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:RACHAEL
Middle Name:OLIVIA
Last Name:OSTROWSKI
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1505 TORRE CT
Mailing Address - Street 2:
Mailing Address - City:SAN JOSE
Mailing Address - State:CA
Mailing Address - Zip Code:95120-5702
Mailing Address - Country:US
Mailing Address - Phone:973-287-9276
Mailing Address - Fax:
Practice Address - Street 1:155 E CAMPBELL AVE STE 104
Practice Address - Street 2:
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-2049
Practice Address - Country:US
Practice Address - Phone:408-372-6159
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-09-01
Last Update Date:2021-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA98104106H00000X
NJNJDCATEMP-032850106H00000X
NJ3TP08-006106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist