| Doctor Name: | MS. RACHEL HAYSLETTE |
| NPI Number: | 1184003154 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | LCPC, CRC |
| License Number: | 180.009122 |
| Business Practice Address: | 4331 Lincoln Hwy Suite E Matteson, IL - 604432404 |
| Business Phone Number: | 7087481951 |
| Business Fax Number: | 7087481962 |
| Mailing Address: | 4331 Lincoln Hwy, Suite E MATTESON |
| State: | IL |
| Postal Code: | 604432404 |
| Phone Number: | 7087481951 |
| Fax Number: | 7087481962 |
| NPI Enumeration Date: | 05/23/2015 |
| NPI Last Update Date: | 05/23/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 101YP2500X |
| License Number: | 180.009122 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | IL |
| Taxonomy Type: | Behavioral Health & Social Service Providers |
| Taxonomy Classification: | Counselor |
| Taxonomy Specialization: | Professional |
| Taxonomy Definition: | |