Individual
MS. RACHEL M. TESREAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
LPCC
Contact information
Practice address
2200 E PARRISH AVE BLDG B, OWENSBORO, KY 42303-1449
(270) 683-3232
(270) 852-1600
Mailing address
PO BOX 23229, OWENSBORO, KY 42304-3229
(270) 691-8070
(270) 691-8026
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
167219
KY
101YP2500X
Professional Counselor
Primary
167219
KY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
200275200A
—
IN
05
—
7100409750
—
KY
Enumeration date
05/08/2010
Last updated
09/18/2023
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