Provider Demographics
NPI:1417155326
Name:BETTING, RANA DIANE (MFT)
Entity Type:Individual
Prefix:MISS
First Name:RANA
Middle Name:DIANE
Last Name:BETTING
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6222 LA SALLE AVE
Mailing Address - Street 2:SUITE C
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94611-2804
Mailing Address - Country:US
Mailing Address - Phone:510-506-5076
Mailing Address - Fax:
Practice Address - Street 1:6222 LA SALLE AVE STE C
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94611-2804
Practice Address - Country:US
Practice Address - Phone:510-506-5076
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-07-03
Last Update Date:2010-04-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA47404106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist