Provider Demographics
NPI:1619495827
Name:SNEVE, RACHEL CHAMPEAU
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:CHAMPEAU
Last Name:SNEVE
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 1:2165 WOODLANE DR STE 200
Mailing Address - Street 2:
Mailing Address - City:WOODBURY
Mailing Address - State:MN
Mailing Address - Zip Code:55125-2915
Mailing Address - Country:US
Mailing Address - Phone:612-704-0163
Mailing Address - Fax:
Practice Address - Street 1:2165 WOODLANE DR STE 200
Practice Address - Street 2:
Practice Address - City:WOODBURY
Practice Address - State:MN
Practice Address - Zip Code:55125-2915
Practice Address - Country:US
Practice Address - Phone:612-704-0163
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-09-07
Last Update Date:2020-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN1616101YP2500X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional