Provider Demographics
NPI:1306398748
Name:REBECCA RABE, LMFT
Entity Type:Organization
Organization Name:REBECCA RABE, LMFT
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED MARRIAGE FAMILY THERAPIST
Authorized Official - Prefix:
Authorized Official - First Name:REBECCA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:ZELNIK-RABE
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:858-361-3188
Mailing Address - Street 1:2305 HISTORIC DECATUR RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-6050
Mailing Address - Country:US
Mailing Address - Phone:619-930-5458
Mailing Address - Fax:888-972-5316
Practice Address - Street 1:2305 HISTORIC DECATUR RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-6050
Practice Address - Country:US
Practice Address - Phone:619-930-5458
Practice Address - Fax:888-972-5316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-02
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51295106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty