Doctor Name: | MRS. CHERYL ELLEN RABE |
NPI Number: | 1063615722 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.S.,L.C.S.W. |
License Number: | 000133 |
Business Practice Address: | 216 W Spring St Neosho, MO - 648501760 |
Business Phone Number: | 4177936665 |
Business Fax Number: | |
Mailing Address: | 344 Mcnatt Rd., NEOSHO |
State: | MO |
Postal Code: | 64850 |
Phone Number: | 4173647972 |
Fax Number: | |
NPI Enumeration Date: | 06/08/2007 |
NPI Last Update Date: | 07/09/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | 000133 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MO |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |