Provider Demographics
NPI: | 1902788433 |
---|---|
Name: | RACHEL CHEN LICENSED PROFESSIONAL CLINICAL COUNSELING |
Entity type: | Organization |
Organization Name: | RACHEL CHEN LICENSED PROFESSIONAL CLINICAL COUNSELING |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | RACHEL |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | CHEN |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 310-938-5537 |
Mailing Address - Street 1: | 2345 S ATLANTIC BLVD # 1049 |
Mailing Address - Street 2: | |
Mailing Address - City: | MONTEREY PARK |
Mailing Address - State: | CA |
Mailing Address - Zip Code: | 91754-6805 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 310-938-5537 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1250 E WALNUT ST STE 260 |
Practice Address - Street 2: | |
Practice Address - City: | PASADENA |
Practice Address - State: | CA |
Practice Address - Zip Code: | 91106-1800 |
Practice Address - Country: | US |
Practice Address - Phone: | 310-938-5537 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-07-24 |
Last Update Date: | 2025-07-24 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 101YM0800X | Behavioral Health & Social Service Providers | Counselor | Mental Health | Group - Single Specialty |