Provider Demographics
NPI:1285050849
Name:COBURN, RACHEL A (MS, CGC)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:A
Last Name:COBURN
Suffix:
Gender:F
Credentials:MS, CGC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7410 W RAWSON AVE
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN
Mailing Address - State:WI
Mailing Address - Zip Code:53132-8274
Mailing Address - Country:US
Mailing Address - Phone:414-427-6210
Mailing Address - Fax:414-427-2358
Practice Address - Street 1:7410 W RAWSON AVE
Practice Address - Street 2:
Practice Address - City:FRANKLIN
Practice Address - State:WI
Practice Address - Zip Code:53132-8274
Practice Address - Country:US
Practice Address - Phone:414-427-6210
Practice Address - Fax:414-427-2358
Is Sole Proprietor?:Yes
Enumeration Date:2014-03-06
Last Update Date:2014-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes170300000XOther Service ProvidersGenetic Counselor, MS