Provider Demographics
NPI:1588271977
Name:OBLAK, RACHEL D (MA)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:D
Last Name:OBLAK
Suffix:
Gender:F
Credentials:MA
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:D
Other - Last Name:STEINMAN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8031 WILLISTON RD. SUITE 2
Mailing Address - Street 2:
Mailing Address - City:WILLISTON
Mailing Address - State:VT
Mailing Address - Zip Code:05495
Mailing Address - Country:US
Mailing Address - Phone:802-238-6695
Mailing Address - Fax:
Practice Address - Street 1:8031 WILLISTON RD. SUITE 2
Practice Address - Street 2:
Practice Address - City:WILLISTON
Practice Address - State:VT
Practice Address - Zip Code:05495
Practice Address - Country:US
Practice Address - Phone:802-238-6695
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-09-29
Last Update Date:2020-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VT068.0131970101YM0800X, 101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health