Provider Demographics
NPI:1871262378
Name:HAACK, RACHEL (MFT-I)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:HAACK
Suffix:
Gender:F
Credentials:MFT-I
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3732 LAKESIDE DR STE 100
Mailing Address - Street 2:
Mailing Address - City:RENO
Mailing Address - State:NV
Mailing Address - Zip Code:89509-4590
Mailing Address - Country:US
Mailing Address - Phone:775-870-6552
Mailing Address - Fax:
Practice Address - Street 1:3732 LAKESIDE DR
Practice Address - Street 2:
Practice Address - City:RENO
Practice Address - State:NV
Practice Address - Zip Code:89509-5278
Practice Address - Country:US
Practice Address - Phone:775-870-6552
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-09-08
Last Update Date:2021-09-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist