Provider Demographics
NPI:1659502888
Name:YNFANTE-RUFER, REBECCA ISABEL (MA, LMFT)
Entity Type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:ISABEL
Last Name:YNFANTE-RUFER
Suffix:
Gender:F
Credentials:MA, LMFT
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:ISABEL
Other - Last Name:YNFANTE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA, LMFT
Mailing Address - Street 1:127 N MADISON AVE STE 300
Mailing Address - Street 2:
Mailing Address - City:PASADENA
Mailing Address - State:CA
Mailing Address - Zip Code:91101-1716
Mailing Address - Country:US
Mailing Address - Phone:626-627-9088
Mailing Address - Fax:
Practice Address - Street 1:127 N MADISON AVE STE 300
Practice Address - Street 2:
Practice Address - City:PASADENA
Practice Address - State:CA
Practice Address - Zip Code:91101-1716
Practice Address - Country:US
Practice Address - Phone:626-627-9088
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-05
Last Update Date:2012-12-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA52402106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist