MEDICARE: RAQUEL C SADLER

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	101YM0800X	Mental Health Counselor	79413	TX

General Provider Information

NPI Number	:	1013405927
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RAQUEL C SADLER

Provider Business Mailing Address
First Line	:	1322 N HWY 290
Second Line	:	SUITE A
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78610-4549
Country	:	US
Telephone Number	:	214-801-0152
Fax Number	:

Provider Business Practice Location Address
First Line	:	1322 N HWY 290
Second Line	:	SUITE A
City	:	DRIPPING SPRINGS
State	:	TX
Zip	:	78610-7861
Country	:	US
Telephone Number	:	214-801-0152
Fax Number	:

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

Provider Enumeration Date	:	04/26/2018
Last Update Date	:	08/25/2020

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Directions to “ RAQUEL C SADLER ” Practice Location

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