Provider Demographics
NPI:1376038364
Name:SCHWIETZER, RACHAEL D (LMFT)
Entity Type:Individual
Prefix:
First Name:RACHAEL
Middle Name:D
Last Name:SCHWIETZER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11121 SUN CENTER DR STE F
Mailing Address - Street 2:
Mailing Address - City:RANCHO CORDOVA
Mailing Address - State:CA
Mailing Address - Zip Code:95670-6199
Mailing Address - Country:US
Mailing Address - Phone:916-813-0826
Mailing Address - Fax:
Practice Address - Street 1:11121 SUN CENTER DR STE F
Practice Address - Street 2:
Practice Address - City:RANCHO CORDOVA
Practice Address - State:CA
Practice Address - Zip Code:95670-6199
Practice Address - Country:US
Practice Address - Phone:916-813-0826
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-06-22
Last Update Date:2020-02-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT82570101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Multi-Specialty