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NPI Code Detail

MEDICARE: RACHEL KAY BREEDLOVE

MEDICARE: RACHEL KAY BREEDLOVE
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
2171M00000XCase Manager/Care Coordinator
3172V00000XCommunity Health Worker
4373H00000XDay Training/Habilitation SpecialistB8285351CA

General Provider Information

NPI Number : 1396499562
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL KAY BREEDLOVE
Provider Business Mailing Address
First Line : 1085 SANDRINGHAM WAY
Second Line :
City : ROSEVILLE
State : CA
Zip : 95661-5321
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1085 SANDRINGHAM WAY
Second Line :
City : ROSEVILLE
State : CA
Zip : 95661-5321
Country : US
Telephone Number : 916-224-0726
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/07/2022
Last Update Date : 04/28/2025

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Directions to “ RACHEL KAY BREEDLOVE ” Practice Location

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