Provider Demographics
NPI:1518696590
Name:ZELAZNY, RACHEL
Entity Type:Individual
Prefix:MISS
First Name:RACHEL
Middle Name:
Last Name:ZELAZNY
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1412 DOVER RD
Mailing Address - Street 2:
Mailing Address - City:MONTROSE
Mailing Address - State:CO
Mailing Address - Zip Code:81401-5132
Mailing Address - Country:US
Mailing Address - Phone:970-683-0171
Mailing Address - Fax:970-399-3648
Practice Address - Street 1:543 MAIN ST
Practice Address - Street 2:
Practice Address - City:DELTA
Practice Address - State:CO
Practice Address - Zip Code:81416-1817
Practice Address - Country:US
Practice Address - Phone:970-201-1467
Practice Address - Fax:970-399-3648
Is Sole Proprietor?:Yes
Enumeration Date:2022-06-06
Last Update Date:2022-06-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselorGroup - Single Specialty