Provider Demographics
NPI:1013405927
Name:SADLER, RAQUEL C
Entity Type:Individual
Prefix:
First Name:RAQUEL
Middle Name:C
Last Name:SADLER
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 1:1322 N HWY 290
Mailing Address - Street 2:SUITE A
Mailing Address - City:DRIPPING SPRINGS
Mailing Address - State:TX
Mailing Address - Zip Code:78610-4549
Mailing Address - Country:US
Mailing Address - Phone:214-801-0152
Mailing Address - Fax:
Practice Address - Street 1:1322 N HWY 290
Practice Address - Street 2:SUITE A
Practice Address - City:DRIPPING SPRINGS
Practice Address - State:TX
Practice Address - Zip Code:78610-7861
Practice Address - Country:US
Practice Address - Phone:214-801-0152
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2018-04-26
Last Update Date:2020-08-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX79413101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health