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Ms. Rachelle Lynn Wiedeman, RASI
Addiction (Substance Use Disorder) Counselor in Indio, California
NPI 1194916221

Rachelle Lynn Wiedeman is an Addiction (Substance Use Disorder) Counselor based in Indio, CA and is specialized in Addiction (Substance Use Disorder). Rachelle Lynn Wiedeman practices in Indio, CA and has the professional credentials of RASI. The NPI Number for Rachelle Lynn Wiedeman is 1194916221 and holds a License No. RI-W0708021221 (California).

The current practice location address for Rachelle Lynn Wiedeman is 83912 Avenue 45 Ste B, Indio, CA and can be reached out via phone at 760-262-8921.

Location: 83912 Avenue 45 Ste B, Indio, CA, 92201-3338
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1194916221
Provider Name
Rachelle Lynn Wiedeman
Credential
RASI
Provider Entity Type
Individual
Gender
Female
Address
83912 Avenue 45 Ste B, Indio, CA, 92201-3338
Phone Number
760-262-8921
Fax Number
Provider Enumeration Date
08/05/2007
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
83912 Avenue 45 Ste B
City
Indio
State
California
Zip
92201-3338
Phone Number
760-262-8921
Fax Number
person
Provider Business Mailing Address Details
Address
83912 Avenue 45 Ste B
City
Indio
State
California
Zip
92201-3338
Phone Number
760-262-8921
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Addiction (Substance Use Disorder)
Taxonomy
101YA0400X
License No.
RI-W0708021221 (California)
Definition
Definition to come...
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