Individual
RAKEL CONNELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS
Contact information
Practice address
276 LAKE HAVASU AVE S APT B28, LAKE HAVASU CITY, AZ 86403-6519
(928) 566-4637
Mailing address
3037 DAWN DR, LAKE HAVASU CITY, AZ 86404-9744
(775) 304-0232
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
LAC-19416
AZ
101YP2500X
Professional Counselor
Primary
LAC-19416
AZ
Other
Enumeration date
12/21/2021
Last updated
12/21/2021
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