Healthcare Provider Details

I. General information

NPI: 1588271977
Provider Name (Legal Business Name): RACHEL D. OBLAK MA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: RACHEL D. STEINMAN

II. Dates (important events)

Enumeration Date: 09/29/2020
Last Update Date: 09/29/2020
Certification Date: 09/29/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8031 WILLISTON RD. SUITE 2
WILLISTON VT
05495
US

IV. Provider business mailing address

8031 WILLISTON RD. SUITE 2
WILLISTON VT
05495
US

V. Phone/Fax

Practice location:
  • Phone: 802-238-6695
  • Fax:
Mailing address:
  • Phone: 802-238-6695
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code101Y00000X
TaxonomyCounselor
License Number068.0131970
License Number StateVT
# 2
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number068.0131970
License Number StateVT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: