MEDICARE: RACHEL BUCHHEIT MA, LCPC, NCC, CT

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	101YP2500X	Professional Counselor	180.009725	IL

General Provider Information

NPI Number	:	1316539976
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL BUCHHEIT MA, LCPC, NCC, CT

Provider Business Mailing Address
First Line	:	7001 W SADDLEBROOK DR
Second Line	:
City	:	MAPLETON
State	:	IL
Zip	:	61547-9675
Country	:	US
Telephone Number	:	309-669-9806
Fax Number	:

Provider Business Practice Location Address
First Line	:	7001 W SADDLEBROOK DR
Second Line	:
City	:	MAPLETON
State	:	IL
Zip	:	61547-9675
Country	:	US
Telephone Number	:	309-669-9806
Fax Number	:

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

Provider Enumeration Date	:	02/05/2021
Last Update Date	:	02/05/2021

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