Provider Demographics
NPI:1609019694
Name:LENAHAN, REBECCA R (LMFT)
Entity Type:Individual
Prefix:MS
First Name:REBECCA
Middle Name:R
Last Name:LENAHAN
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 1:641 CASTLE DR
Mailing Address - Street 2:
Mailing Address - City:PARADISE
Mailing Address - State:CA
Mailing Address - Zip Code:95969-3009
Mailing Address - Country:US
Mailing Address - Phone:530-680-1067
Mailing Address - Fax:
Practice Address - Street 1:344 FLUME ST STE H
Practice Address - Street 2:
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95928-5429
Practice Address - Country:US
Practice Address - Phone:530-680-1067
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-07
Last Update Date:2009-04-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFT 40161106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist