Provider Demographics
NPI:1548414907
Name:GIULIETTI, REBECCA KRONK (LMFT, CT H)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:KRONK
Last Name:GIULIETTI
Suffix:
Gender:F
Credentials:LMFT, CT H
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9799 NW 19TH ST
Mailing Address - Street 2:
Mailing Address - City:CORAL SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:33071-5814
Mailing Address - Country:US
Mailing Address - Phone:954-464-3395
Mailing Address - Fax:954-346-8341
Practice Address - Street 1:7501 WILES RD STE 102B
Practice Address - Street 2:
Practice Address - City:CORAL SPRINGS
Practice Address - State:FL
Practice Address - Zip Code:33067-2063
Practice Address - Country:US
Practice Address - Phone:954-464-3395
Practice Address - Fax:954-796-3233
Is Sole Proprietor?:Yes
Enumeration Date:2008-11-12
Last Update Date:2022-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLMT2229106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist