Doctor Name: | RACHEL B KIELBLOCK |
NPI Number: | 1073778353 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS, LPC, NCC |
License Number: | 3907-125 |
Business Practice Address: | W3272 Wolf River Road Keshena, WI - 54135 |
Business Phone Number: | 7157993861 |
Business Fax Number: | 7157992517 |
Mailing Address: | P.o. Box 280, KESHENA |
State: | WI |
Postal Code: | 54135 |
Phone Number: | 7157993861 |
Fax Number: | 7157993517 |
NPI Enumeration Date: | 07/25/2008 |
NPI Last Update Date: | 03/30/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | 3907-125 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | WI |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |