Doctor Name: | JOE RAUSCHENBACH |
NPI Number: | 1013138510 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | |
License Number: | |
Business Practice Address: | 7150 Silver Saddle Rd Flagstaff, AZ - 860043207 |
Business Phone Number: | 9285273873 |
Business Fax Number: | 9285268985 |
Mailing Address: | 2625 E Heidi Loop, FLAGSTAFF |
State: | AZ |
Postal Code: | 860041845 |
Phone Number: | 9285269314 |
Fax Number: | |
NPI Enumeration Date: | 05/01/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YS0200X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | School |
Taxonomy Definition: |