Provider Demographics
NPI:1356574297
Name:FELBER, RAINER FRANZ (LMHC)
Entity type:Individual
Prefix:MR
First Name:RAINER
Middle Name:FRANZ
Last Name:FELBER
Suffix:
Gender:M
Credentials:LMHC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:170 MORTON STREET
Mailing Address - Street 2:MICHAEL J. GILL MENTAL HEALTH & WELLNESS CLINIC
Mailing Address - City:JAMAICA PLAIN
Mailing Address - State:MA
Mailing Address - Zip Code:02130
Mailing Address - Country:US
Mailing Address - Phone:617-619-5904
Mailing Address - Fax:
Practice Address - Street 1:170 MORTON ST
Practice Address - Street 2:MICHAEL J. GILL MENTAL HEALTH & WELLNESS CLINIC
Practice Address - City:JAMAICA PLAIN
Practice Address - State:MA
Practice Address - Zip Code:02130-3735
Practice Address - Country:US
Practice Address - Phone:617-619-5904
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-26
Last Update Date:2009-08-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MALMHC 1098101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health