Provider Demographics
NPI:1598162323
Name:FABBI, RACHEL (LMFT, CADC, PMH-C)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:
Last Name:FABBI
Suffix:
Gender:F
Credentials:LMFT, CADC, PMH-C
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:
Other - Last Name:WILLIAMSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1480 N TOKAY WAY
Mailing Address - Street 2:
Mailing Address - City:MERIDIAN
Mailing Address - State:ID
Mailing Address - Zip Code:83642-1984
Mailing Address - Country:US
Mailing Address - Phone:808-398-4635
Mailing Address - Fax:208-895-8049
Practice Address - Street 1:403 W CHERRY LN
Practice Address - Street 2:
Practice Address - City:MERIDIAN
Practice Address - State:ID
Practice Address - Zip Code:83642-1610
Practice Address - Country:US
Practice Address - Phone:208-887-1911
Practice Address - Fax:208-895-8049
Is Sole Proprietor?:Yes
Enumeration Date:2014-11-21
Last Update Date:2024-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDLMFT-5869106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist