Provider Demographics
NPI:1477072833
Name:MARTERRE, RACHEL ALEXANDRA (MA, LMFT)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:ALEXANDRA
Last Name:MARTERRE
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:
Other - First Name:ALEX
Other - Middle Name:
Other - Last Name:MARTERRE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:445 BELLEVUE AVE STE 101D
Mailing Address - Street 2:
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94610-4923
Mailing Address - Country:US
Mailing Address - Phone:415-854-0243
Mailing Address - Fax:
Practice Address - Street 1:445 BELLEVUE AVE STE 101D
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94610-4923
Practice Address - Country:US
Practice Address - Phone:415-854-0243
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-09-15
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA124133106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist