Provider Demographics
NPI:1710596473
Name:RAINBOW, AUBREY (LCPC, LCPAT, ATR-BC)
Entity Type:Individual
Prefix:MS
First Name:AUBREY
Middle Name:
Last Name:RAINBOW
Suffix:
Gender:F
Credentials:LCPC, LCPAT, ATR-BC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9845
Mailing Address - Street 2:
Mailing Address - City:WASHINGTON
Mailing Address - State:DC
Mailing Address - Zip Code:20016-8845
Mailing Address - Country:US
Mailing Address - Phone:202-244-0818
Mailing Address - Fax:
Practice Address - Street 1:4005 WISCONSIN AVE NW
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:DC
Practice Address - Zip Code:20016-7774
Practice Address - Country:US
Practice Address - Phone:202-244-0818
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDLGP10593101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor