Matthews, Rachel Mccullough
Matthews, Rachel Mccullough is an sole proprietor health care provider with primary practice located at 708 Hamilton Dr , Champaign IL 61820-6812. She recently has 3 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Pastoral, Behavioral Health & Social Service Providers / Professional, Behavioral Health & Social Service Providers / Mental Health. Behavioral Health & Social Service Providers / Mental Health is her primary health care specialty. Matthews, Rachel Mccullough can be contacted via phone (864) 275-2495.Contact Information
Primary practice address
708 Hamilton Dr
Champaign IL 61820-6812
Phone: (864) 275-2495
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | LPCI #4985 | South Carolina |
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | ASSOCIATE #66 | North Carolina |
Behavioral Health & Social Service Providers / Pastoral | 101YP1600X | LPC 5356 | South Carolina |
Behavioral Health & Social Service Providers / Professional | 101YP2500X | LPC 5356 | South Carolina |
Behavioral Health & Social Service Providers / Mental Health | 101YM0800X | 180.012879 | Illinois |
Profile Details
NPI number | 1114135324 |
---|---|
LBN Legal business name | Matthews, Rachel Mccullough |
Credentials | D.MIN., LPC, LCPC |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | May 19th, 2007 |
Last updated | Oct 30th, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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