Provider Demographics
NPI:1487164455
Name:FLANNERY-BINFET, RACHEL (LAC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:FLANNERY-BINFET
Suffix:
Gender:F
Credentials:LAC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8444 N 90TH ST STE 100
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85258-4437
Mailing Address - Country:US
Mailing Address - Phone:480-494-2497
Mailing Address - Fax:480-687-7361
Practice Address - Street 1:901 28TH ST S STE C
Practice Address - Street 2:
Practice Address - City:FARGO
Practice Address - State:ND
Practice Address - Zip Code:58103-8745
Practice Address - Country:US
Practice Address - Phone:480-494-2497
Practice Address - Fax:480-687-7361
Is Sole Proprietor?:Yes
Enumeration Date:2017-10-04
Last Update Date:2022-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
ND1817101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)