Individual
RACHAEL BLAIRE PREWETT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC, LCSW, RPT
Contact information
Practice address
4156 AVERY LN, BRIDGETON, MO 63044-3401
(314) 791-2627
Mailing address
4156 AVERY LN, BRIDGETON, MO 63044-3401
(314) 791-2627
Taxonomy
Speciality
Code
Description
License number
State
101YP2500X
Professional Counselor
2004037092
MO
1041C0700X
Clinical Social Worker
149.021891
IL
1041C0700X
Clinical Social Worker
Primary
2010007508
MO
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
499452902
—
MO
Enumeration date
12/27/2006
Last updated
08/02/2022
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