Individual
RACHEL SMITH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPC-IT
Contact information
Practice address
405 E FOREST ST, OCONOMOWOC, WI 53066-3707
(262) 622-1105
Mailing address
317 GRAND AVE, HARTFORD, WI 53027-1907
(262) 622-1105
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
7336226
WI
Other
Enumeration date
02/05/2025
Last updated
02/05/2025
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