Provider Demographics
NPI:1770715203
Name:RHINE, NANCY (MS)
Entity type:Individual
Prefix:
First Name:NANCY
Middle Name:
Last Name:RHINE
Suffix:
Gender:F
Credentials:MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:33 ROQUE MORAES CT
Mailing Address - Street 2:APARTMENT 4
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-4602
Mailing Address - Country:US
Mailing Address - Phone:415-378-6577
Mailing Address - Fax:
Practice Address - Street 1:33 ROQUE MORAES CT
Practice Address - Street 2:APARTMENT 4
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-4602
Practice Address - Country:US
Practice Address - Phone:415-378-6577
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-08-17
Last Update Date:2009-08-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101Y00000XBehavioral Health & Social Service ProvidersCounselor