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NPI Code Detail

MEDICARE: RACHAEL HERBISON

MEDICARE: RACHAEL HERBISON
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
1101YM0800XMental Health Counselor

General Provider Information

NPI Number : 1497524177
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL HERBISON
Provider Business Mailing Address
First Line : 5 OPTICAL DR
Second Line :
City : SOUTHBRIDGE
State : MA
Zip : 01550-2559
Country : US
Telephone Number : 617-275-9426
Fax Number :
Provider Business Practice Location Address
First Line : 5 OPTICAL DR
Second Line :
City : SOUTHBRIDGE
State : MA
Zip : 01550-2559
Country : US
Telephone Number : 617-275-9426
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/22/2023
Last Update Date : 12/22/2023

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Directions to “ RACHAEL HERBISON ” Practice Location

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