Provider Demographics
NPI:1205403995
Name:KINER, RACHEL REED (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:REED
Last Name:KINER
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:115 W PLAZA ST # 200
Mailing Address - Street 2:
Mailing Address - City:SOLANA BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92075-1123
Mailing Address - Country:US
Mailing Address - Phone:619-333-5178
Mailing Address - Fax:
Practice Address - Street 1:115 W PLAZA ST # 200
Practice Address - Street 2:
Practice Address - City:SOLANA BEACH
Practice Address - State:CA
Practice Address - Zip Code:92075-1123
Practice Address - Country:US
Practice Address - Phone:619-333-5178
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA120686106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist