Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 101Y00000X | Counselor | 6714-125 | WI |
N | 101YA0400X | Addiction Counselor (Substance Use Disorder) | 6714-125 | WI |
N | 101YM0800X | Mental Health Counselor | 6714-125 | WI |
NPI | 1003375031 |
---|---|
Provider Name | Rachel R Unseth |
First Address | La Crosse, WI 54601-4304 |
Second Address | La Crosse, WI 54601-4018 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 19/03/2019 |
Last Update Date | 19/03/2019 |