MEDICARE: RACHEL HEBERLE

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	0701003920	VA

General Provider Information

NPI Number	:	1427193283
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL HEBERLE

Provider Business Mailing Address
First Line	:	214 S BRADDOCK ST
Second Line	:
City	:	WINCHESTER
State	:	VA
Zip	:	22601-4043
Country	:	US
Telephone Number	:	540-662-8368
Fax Number	:

Provider Business Practice Location Address
First Line	:	120 DOGWOOD DR
Second Line	:
City	:	CROSS JUNCTION
State	:	VA
Zip	:	22625-2501
Country	:	US
Telephone Number	:	540-888-4368
Fax Number	:

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	07/08/2007

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Directions to “ RACHEL HEBERLE ” Practice Location

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