Dietsche, Rachel T

Dietsche, Rachel T is an individual health care provider with primary practice located at 2227 Capricorn Way Ste 207208 , Santa Rosa CA 95407-5478. She recently has 2 registered licenses in different health care specialties including Behavioral Health & Social Service Providers / Professional, Other Service Providers / Case Manager/Care Coordinator. Other Service Providers / Case Manager/Care Coordinator is her primary health care specialty. Dietsche, Rachel T can be contacted via phone (707) 978-8607.

Contact Information

Primary practice address
2227 Capricorn Way Ste 207208 Santa Rosa CA 95407-5478
Phone: (707) 978-8607
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Professional 101YP2500X 178005889 Illinois
Other Service Providers / Case Manager/Care Coordinator 171M00000X
Behavioral Health & Social Service Providers / Professional 101YP2500X

Profile Details

NPI number 1871738435
LBN Legal business name Dietsche, Rachel T
Credentials MS
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 11th, 2008
Last updated Apr 9th, 2024 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1871738435 NPPES
California MEDICAID 1871738435

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