Provider Demographics
NPI:1578673711
Name:RUMNEY, AVIS (MFT)
Entity Type:Individual
Prefix:MS
First Name:AVIS
Middle Name:
Last Name:RUMNEY
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 1:3190 OLD TUNNEL RD STE B
Mailing Address - Street 2:
Mailing Address - City:LAFAYETTE
Mailing Address - State:CA
Mailing Address - Zip Code:94549-4198
Mailing Address - Country:US
Mailing Address - Phone:925-299-1154
Mailing Address - Fax:415-924-0144
Practice Address - Street 1:3190 OLD TUNNEL RD STE B
Practice Address - Street 2:
Practice Address - City:LAFAYETTE
Practice Address - State:CA
Practice Address - Zip Code:94549-4198
Practice Address - Country:US
Practice Address - Phone:925-299-1154
Practice Address - Fax:415-924-0144
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-30
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC18039106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist