Provider Demographics
NPI:1770032120
Name:WILLS, RACHEL LEIGH (LCPC, LPC, CCTP1)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:LEIGH
Last Name:WILLS
Suffix:
Gender:F
Credentials:LCPC, LPC, CCTP1
Other - Prefix:
Other - First Name:RACEL
Other - Middle Name:LEIGH
Other - Last Name:MARKS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6320 61ST PL
Mailing Address - Street 2:
Mailing Address - City:RIVERDALE
Mailing Address - State:MD
Mailing Address - Zip Code:20737-1409
Mailing Address - Country:US
Mailing Address - Phone:202-579-1144
Mailing Address - Fax:
Practice Address - Street 1:6320 61ST PL
Practice Address - Street 2:
Practice Address - City:RIVERDALE
Practice Address - State:MD
Practice Address - Zip Code:20737-1409
Practice Address - Country:US
Practice Address - Phone:202-579-1144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-09-27
Last Update Date:2024-10-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0701008934101YP2500X
DCPRC14691101YP2500X
MDLC12979101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional