Provider Demographics
NPI:1821215195
Name:LANG, RITA A (LMFT)
Entity Type:Individual
Prefix:MS
First Name:RITA
Middle Name:A
Last Name:LANG
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:RITA
Other - Middle Name:SUMLER
Other - Last Name:LANG
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:LMFT
Mailing Address - Street 1:1559 SOLITUDE LANE
Mailing Address - Street 2:
Mailing Address - City:EL SOBRANTE
Mailing Address - State:CA
Mailing Address - Zip Code:94803-2617
Mailing Address - Country:US
Mailing Address - Phone:510-978-1808
Mailing Address - Fax:
Practice Address - Street 1:5707 REDWOOS ROAD SUITE #4
Practice Address - Street 2:
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94619
Practice Address - Country:US
Practice Address - Phone:510-978-1808
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-19
Last Update Date:2023-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC43749106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist