Provider Demographics
NPI:1982423273
Name:MARKOE, RACHEL (MA)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:MARKOE
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3834 SAINT REGIS DR
Mailing Address - Street 2:
Mailing Address - City:WHITE BEAR LAKE
Mailing Address - State:MN
Mailing Address - Zip Code:55110-4816
Mailing Address - Country:US
Mailing Address - Phone:651-270-4177
Mailing Address - Fax:
Practice Address - Street 1:7876 HUDSON RD STE 1
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-1422
Practice Address - Country:US
Practice Address - Phone:651-735-9534
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-10-04
Last Update Date:2024-10-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health