Provider Demographics
NPI:1013204379
Name:CLEE, RACHEL MIRANDA (MS, LMFT)
Entity Type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:MIRANDA
Last Name:CLEE
Suffix:
Gender:F
Credentials:MS, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1663 MISSION ST
Mailing Address - Street 2:SUITE 460
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94103-2400
Mailing Address - Country:US
Mailing Address - Phone:415-715-1050
Mailing Address - Fax:415-715-1051
Practice Address - Street 1:150 EXECUTIVE PARK BLVD
Practice Address - Street 2:SUITE 4000
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94134-3303
Practice Address - Country:US
Practice Address - Phone:415-715-1050
Practice Address - Fax:415-715-1051
Is Sole Proprietor?:No
Enumeration Date:2011-07-06
Last Update Date:2016-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA96153106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist