Healthcare Provider Details

I. General information

NPI: 1861338931
Provider Name (Legal Business Name): RACHEL MOSES
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/28/2026
Last Update Date: 04/28/2026
Certification Date: 04/28/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4356 PEACEFUL GLEN RD
VACAVILLE CA
95688-9643
US

IV. Provider business mailing address

4356 PEACEFUL GLEN RD
VACAVILLE CA
95688-9643
US

V. Phone/Fax

Practice location:
  • Phone: 707-455-7867
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number161266
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: