Provider Demographics
NPI:1215398052
Name:RABIN, RANDI JEAN (LMFT)
Entity Type:Individual
Prefix:MS
First Name:RANDI
Middle Name:JEAN
Last Name:RABIN
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 1:37 HUMPHREY RD
Mailing Address - Street 2:
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93108-2811
Mailing Address - Country:US
Mailing Address - Phone:805-450-4084
Mailing Address - Fax:
Practice Address - Street 1:27 E VICTORIA ST
Practice Address - Street 2:SUITE M
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93101-2619
Practice Address - Country:US
Practice Address - Phone:805-450-4084
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-03-07
Last Update Date:2016-03-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT90755101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA#81955Medicaid