Provider Demographics
NPI:1366157968
Name:STETENFELD, RACHEL THERESA
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:THERESA
Last Name:STETENFELD
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 1:920 SPAIGHT ST APT 5
Mailing Address - Street 2:
Mailing Address - City:MADISON
Mailing Address - State:WI
Mailing Address - Zip Code:53703-4516
Mailing Address - Country:US
Mailing Address - Phone:608-669-5978
Mailing Address - Fax:
Practice Address - Street 1:2940 CHAPEL VALLEY RD STE 2
Practice Address - Street 2:
Practice Address - City:FITCHBURG
Practice Address - State:WI
Practice Address - Zip Code:53711-6451
Practice Address - Country:US
Practice Address - Phone:608-709-9672
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-18
Last Update Date:2023-01-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health