Provider Demographics
NPI:1821418955
Name:RAPPOPORT, LINA (LMFT)
Entity Type:Individual
Prefix:MRS
First Name:LINA
Middle Name:
Last Name:RAPPOPORT
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 1:1608 WINDSFORD CIR
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89117-7228
Mailing Address - Country:US
Mailing Address - Phone:408-681-9449
Mailing Address - Fax:
Practice Address - Street 1:1608 WINDSFORD CIR
Practice Address - Street 2:
Practice Address - City:LAS VEGAS
Practice Address - State:NV
Practice Address - Zip Code:89117-7228
Practice Address - Country:US
Practice Address - Phone:408-681-9449
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-16
Last Update Date:2020-07-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA78021106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist