MEDICARE: MRS. RACHEL M EIFERT LPC, CSAC, ICS

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YA0400X	Addiction (Substance Use Disorder) Counselor	15667-132	WI
2	101YP2500X	Professional Counselor	1156-226	WI

General Provider Information

NPI Number	:	1205168655
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. RACHEL M EIFERT LPC, CSAC, ICS

Provider Business Mailing Address
First Line	:	2417 POST RD
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54481-6134
Country	:	US
Telephone Number	:	855-607-0425
Fax Number	:	715-848-0425

Provider Business Practice Location Address
First Line	:	2417 POST RD
Second Line	:
City	:	STEVENS POINT
State	:	WI
Zip	:	54481-6134
Country	:	US
Telephone Number	:	855-607-0425
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	02/10/2010
Last Update Date	:	07/15/2024

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