Fondren, Rachel Mae

Fondren, Rachel Mae is an individual health care provider with primary practice located at 105 Charge Ct Apt 1F , Elizabethtown KY 42701-4984. She recently has only one registered license in Behavioral Health & Social Service Providers / Clinical, which is considered as her primary health care specialty. Fondren, Rachel Mae can be contacted via phone (256) 443-0992.

Contact Information

Primary practice address
105 Charge Ct Apt 1F Elizabethtown KY 42701-4984
Phone: (256) 443-0992
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Clinical 1041C0700X 259888 Kentucky
Behavioral Health & Social Service Providers / Clinical 1041C0700X 3972C Alabama

Profile Details

NPI number 1841623352
LBN Legal business name Fondren, Rachel Mae
Credentials LICSW, PIP
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 20th, 2013
Last updated Sep 18th, 2025 - about last year

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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Identifiers

StateTypeNumberIssuer
All States NPI 1841623352 NPPES
Alabama MEDICAID 330000014

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