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Individual

MS. RACHAEL HOLLISTER WOOTEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
PH.D.

Contact information

Practice address
2721 KITTRELL DR., RALEIGH, NC 27608
(919) 881-9661
(919) 881-1165
Mailing address
2721 KITTRELL DR., RALEIGH, NC 27608
(919) 881-9661
(919) 881-1165

Taxonomy

Speciality
Code
Description
License number
State
103TC1900X
Counseling Psychologist
Primary
569
NC

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
04849
BC BS NC
01
8904849
MEDICARE
Enumeration date
08/20/2008
Last updated
08/20/2008
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