Individual
RACHEL TICE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC
Contact information
Practice address
525 ROUTE 73 N STE 104, MARLTON, NJ 08053-3422
(732) 655-8501
Mailing address
59 ELM ST, BEACHWOOD, NJ 08722-3419
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00302900
NJ
Other
Enumeration date
05/13/2016
Last updated
05/05/2023
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