Provider Demographics
NPI:1902686348
Name:ESTELLA, RACHELLE (CATC II)
Entity Type:Individual
Prefix:
First Name:RACHELLE
Middle Name:
Last Name:ESTELLA
Suffix:
Gender:F
Credentials:CATC II
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:559 HEATHERS ST
Mailing Address - Street 2:
Mailing Address - City:HEMET
Mailing Address - State:CA
Mailing Address - Zip Code:92543-8760
Mailing Address - Country:US
Mailing Address - Phone:818-478-6031
Mailing Address - Fax:
Practice Address - Street 1:559 HEATHERS ST
Practice Address - Street 2:
Practice Address - City:HEMET
Practice Address - State:CA
Practice Address - Zip Code:92543-8760
Practice Address - Country:US
Practice Address - Phone:818-478-6031
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-10-03
Last Update Date:2024-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2315581171M00000X, 101YA0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)
No171M00000XOther Service ProvidersCase Manager/Care Coordinator