Individual
RAECHEL LYNN MARCANO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
29750 HARPER AVE, SAINT CLAIR SHORES, MI 48082-2607
(856) 777-3200
(586) 777-7855
Mailing address
22521 EDGEWOOD ST, SAINT CLAIR SHORES, MI 48080-2154
(586) 864-0036
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
Primary
6451023076
MI
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/19/2022
Last updated
07/24/2023
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