Provider Demographics
NPI:1114137726
Name:RAWLINGS, LINDA JEAN (MFT)
Entity Type:Individual
Prefix:MRS
First Name:LINDA
Middle Name:JEAN
Last Name:RAWLINGS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1559 HI MOUNTAIN RD
Mailing Address - Street 2:
Mailing Address - City:ARROYO GRANDE
Mailing Address - State:CA
Mailing Address - Zip Code:93420-6961
Mailing Address - Country:US
Mailing Address - Phone:805-473-3282
Mailing Address - Fax:805-473-3282
Practice Address - Street 1:1559 HI MOUNTAIN RD
Practice Address - Street 2:
Practice Address - City:ARROYO GRANDE
Practice Address - State:CA
Practice Address - Zip Code:93420-6961
Practice Address - Country:US
Practice Address - Phone:805-473-3282
Practice Address - Fax:805-473-3282
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-23
Last Update Date:2024-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC16564106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist