Provider Demographics
NPI:1437498060
Name:THOMASIAN, RACHEL RAYA (LMFT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:RAYA
Last Name:THOMASIAN
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 1:655 N CENTRAL AVE
Mailing Address - Street 2:17TH FLOOR
Mailing Address - City:GLENDALE
Mailing Address - State:CA
Mailing Address - Zip Code:91203-1422
Mailing Address - Country:US
Mailing Address - Phone:818-599-1234
Mailing Address - Fax:
Practice Address - Street 1:655 N CENTRAL AVE
Practice Address - Street 2:17TH FLOOR
Practice Address - City:GLENDALE
Practice Address - State:CA
Practice Address - Zip Code:91203-1422
Practice Address - Country:US
Practice Address - Phone:818-599-1234
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-01
Last Update Date:2013-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC51626106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist