Individual provider · Type 1 NPI
Rachel Marie Countryman, LPC
Professional Counselor · Chicago, IL
NPI number
1508665720
Active
Practice location
2353 W Wabansia Ave Apt 201
Chicago, IL 60647-6641
Mailing address
532 W Grant Pl Apt 1
Chicago, IL 60614-7470
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Professional Counselor Primary | 101YP2500X | 178.020356 (IL) |
Professional Counselor: Definition to come...
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About NPI 1508665720
Rachel Marie Countryman, LPC's National Provider Identifier is 1508665720, issued on Mar 10, 2025. The primary taxonomy on file is Professional Counselor (101YP2500X), and the practice location is in Chicago, IL. The record was last updated on Mar 10, 2025.