Provider Demographics
NPI:1962500512
Name:RACHELS, KAREN R (MFT)
Entity Type:Individual
Prefix:MS
First Name:KAREN
Middle Name:R
Last Name:RACHELS
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2120 MARKET STREET
Mailing Address - Street 2:#209
Mailing Address - City:SAN FRANCISCO
Mailing Address - State:CA
Mailing Address - Zip Code:94114-1375
Mailing Address - Country:US
Mailing Address - Phone:415-263-0911
Mailing Address - Fax:510-653-2172
Practice Address - Street 1:2120 MARKET STREET
Practice Address - Street 2:#209
Practice Address - City:SAN FRANCISCO
Practice Address - State:CA
Practice Address - Zip Code:94114-1375
Practice Address - Country:US
Practice Address - Phone:415-263-0911
Practice Address - Fax:510-653-2172
Is Sole Proprietor?:No
Enumeration Date:2006-09-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC31722106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist