Provider Demographics
NPI:1235743774
Name:MCCOMBS, RHASHANNA (MSC, LPC, RN)
Entity Type:Individual
Prefix:
First Name:RHASHANNA
Middle Name:
Last Name:MCCOMBS
Suffix:
Gender:F
Credentials:MSC, LPC, RN
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8605 N 59TH AVE APT 1060
Mailing Address - Street 2:
Mailing Address - City:GLENDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85302-5400
Mailing Address - Country:US
Mailing Address - Phone:602-301-9816
Mailing Address - Fax:
Practice Address - Street 1:12211 W BELL RD STE 205
Practice Address - Street 2:
Practice Address - City:SURPRISE
Practice Address - State:AZ
Practice Address - Zip Code:85378-9522
Practice Address - Country:US
Practice Address - Phone:520-485-7893
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-09-02
Last Update Date:2024-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ21630101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health