Provider Demographics
NPI:1518343318
Name:ZELNIK-RABE, REBECCA ANN (LMFT)
Entity Type:Individual
Prefix:
First Name:REBECCA
Middle Name:ANN
Last Name:ZELNIK-RABE
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 1:2305 HISTORIC DECATUR RD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92106-6050
Mailing Address - Country:US
Mailing Address - Phone:619-930-5458
Mailing Address - Fax:888-972-5316
Practice Address - Street 1:2305 HISTORIC DECATUR RD
Practice Address - Street 2:SUITE 100
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92106-6050
Practice Address - Country:US
Practice Address - Phone:619-930-5458
Practice Address - Fax:888-972-5316
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-04
Last Update Date:2017-01-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51295106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist