Provider Demographics
NPI:1912520107
Name:SMITH, RACHAEL ANN (RADT)
Entity type:Individual
Prefix:
First Name:RACHAEL
Middle Name:ANN
Last Name:SMITH
Suffix:
Gender:F
Credentials:RADT
Other - Prefix:
Other - First Name:RACHAEL
Other - Middle Name:ANN
Other - Last Name:APPEL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:RADT
Mailing Address - Street 1:8400 FAIR OAKS BLVD
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-2502
Mailing Address - Country:US
Mailing Address - Phone:916-944-3920
Mailing Address - Fax:916-944-7740
Practice Address - Street 1:8400 FAIR OAKS BLVD
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-2502
Practice Address - Country:US
Practice Address - Phone:916-944-3920
Practice Address - Fax:916-944-7740
Is Sole Proprietor?:No
Enumeration Date:2020-05-21
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)