Individual
RACHAEL DESAUSSURE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1355B LYNNFIELD RD STE 245, MEMPHIS, TN 38119-5829
(901) 206-2547
Mailing address
1355B LYNNFIELD RD STE 245, MEMPHIS, TN 38119-5829
(901) 206-2547
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
4535
TN
101YM0800X
Mental Health Counselor
LPC0000004534
TN
Other
Enumeration date
11/25/2019
Last updated
08/14/2024
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