Healthcare Provider Details

I. General information

NPI: 1255672580
Provider Name (Legal Business Name): RACHELLE LINDA GUEVARA
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 03/12/2013
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2400 WASHINGTON AVE
REDDING CA
96001-2802
US

IV. Provider business mailing address

2577 VENUS WAY
REDDING CA
96002-3087
US

V. Phone/Fax

Practice location:
  • Phone: 530-921-0949
  • Fax:
Mailing address:
  • Phone: 305-921-0949
  • Fax: 530-921-0949

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code104100000X
TaxonomySocial Worker
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number164584
License Number StateCA
# 3
Primary TaxonomyN
Taxonomy Code390200000X
TaxonomyStudent in an Organized Health Care Education/Training Program
License Number
License Number StateNULL

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: