Provider Demographics
NPI:1891168985
Name:SMITH, RACHEL E (LMFT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:E
Last Name:SMITH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:E
Other - Last Name:MILHOUS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1853 FOSBERG RD
Mailing Address - Street 2:
Mailing Address - City:HUGHSON
Mailing Address - State:CA
Mailing Address - Zip Code:95326-9002
Mailing Address - Country:US
Mailing Address - Phone:209-535-0604
Mailing Address - Fax:
Practice Address - Street 1:1853 FOSBERG RD
Practice Address - Street 2:
Practice Address - City:HUGHSON
Practice Address - State:CA
Practice Address - Zip Code:95326-9002
Practice Address - Country:US
Practice Address - Phone:209-535-0604
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2015-11-11
Last Update Date:2023-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA89237101YP2500X
CAMFT111852106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YP2500XBehavioral Health & Social Service ProvidersCounselorProfessional