Individual
RHEA L VACHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW
Contact information
Practice address
30 W MIFFLIN ST STE 502, MADISON, WI 53703-2589
(608) 513-9637
Mailing address
742 CRESTHAVEN DR, COTTAGE GROVE, WI 53527-9677
(608) 513-9637
Taxonomy
Speciality
Code
Description
License number
State
104100000X
Social Worker
Primary
129639-121
WI
1041C0700X
Clinical Social Worker
9393-123
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1700279619
—
WI
Enumeration date
03/17/2015
Last updated
03/24/2024
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