Provider Demographics
NPI:1801057435
Name:MORICI-LEIRER, RACHEL ANGELA (MA, LPC, LCPC)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:ANGELA
Last Name:MORICI-LEIRER
Suffix:
Gender:F
Credentials:MA, LPC, LCPC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:47 TRIPP LAKE CAMP RD
Mailing Address - Street 2:
Mailing Address - City:POLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04274-7505
Mailing Address - Country:US
Mailing Address - Phone:303-856-4414
Mailing Address - Fax:
Practice Address - Street 1:47 TRIPP LAKE CAMP RD
Practice Address - Street 2:
Practice Address - City:POLAND
Practice Address - State:ME
Practice Address - Zip Code:04274-7505
Practice Address - Country:US
Practice Address - Phone:303-856-4414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-17
Last Update Date:2024-12-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO5739101YM0800X
MECC6222101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health