Provider Demographics
NPI:1336306315
Name:RAPP, KATJA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:KATJA
Middle Name:
Last Name:RAPP
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 1:4842 HAIGHT TRL
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92123-6429
Mailing Address - Country:US
Mailing Address - Phone:805-215-0373
Mailing Address - Fax:805-641-5873
Practice Address - Street 1:4842 HAIGHT TRL
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92123-6429
Practice Address - Country:US
Practice Address - Phone:805-215-0373
Practice Address - Fax:805-641-5873
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-19
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YA0400X
CA50208106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101YA0400XBehavioral Health & Social Service ProvidersCounselorAddiction (Substance Use Disorder)