Provider Demographics
NPI:1457546715
Name:RAHBAR, JEAN PERRIN (MA LMHC)
Entity type:Individual
Prefix:MS
First Name:JEAN
Middle Name:PERRIN
Last Name:RAHBAR
Suffix:
Gender:F
Credentials:MA LMHC
Other - Prefix:MS
Other - First Name:JEAN
Other - Middle Name:GORDIN
Other - Last Name:PERRIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MA
Mailing Address - Street 1:26 ROCKLAND ST
Mailing Address - Street 2:
Mailing Address - City:S. DARTMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02748
Mailing Address - Country:US
Mailing Address - Phone:617-312-9207
Mailing Address - Fax:
Practice Address - Street 1:26 ROCKLAND ST
Practice Address - Street 2:
Practice Address - City:S. DARTMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02748
Practice Address - Country:US
Practice Address - Phone:617-312-9207
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-10
Last Update Date:2010-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
101YM0800X, 102L00000X
MA7281101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor
No101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No102L00000XBehavioral Health & Social Service ProvidersPsychoanalyst