Provider Demographics
NPI:1346365004
Name:DAVID, RHONDA JEAN (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:RHONDA
Middle Name:JEAN
Last Name:DAVID
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 1:360 MOBIL AVE STE 205G
Mailing Address - Street 2:
Mailing Address - City:CAMARILLO
Mailing Address - State:CA
Mailing Address - Zip Code:93010-6373
Mailing Address - Country:US
Mailing Address - Phone:805-815-2271
Mailing Address - Fax:
Practice Address - Street 1:360 MOBIL AVE STE 205G
Practice Address - Street 2:
Practice Address - City:CAMARILLO
Practice Address - State:CA
Practice Address - Zip Code:93010-6373
Practice Address - Country:US
Practice Address - Phone:805-815-2271
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-20
Last Update Date:2014-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMCF33370106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist