Provider Demographics
NPI:1801145537
Name:CANTRELL, RACHEL LAWTON (MFC)
Entity type:Individual
Prefix:MRS
First Name:RACHEL
Middle Name:LAWTON
Last Name:CANTRELL
Suffix:
Gender:F
Credentials:MFC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5266 HOLLISTER AVE
Mailing Address - Street 2:SUITE 211
Mailing Address - City:SANTA BARBARA
Mailing Address - State:CA
Mailing Address - Zip Code:93111-2037
Mailing Address - Country:US
Mailing Address - Phone:805-617-0842
Mailing Address - Fax:805-448-1569
Practice Address - Street 1:5266 HOLLISTER AVE
Practice Address - Street 2:SUITE 211
Practice Address - City:SANTA BARBARA
Practice Address - State:CA
Practice Address - Zip Code:93111-2037
Practice Address - Country:US
Practice Address - Phone:805-617-0842
Practice Address - Fax:805-448-1569
Is Sole Proprietor?:No
Enumeration Date:2012-09-10
Last Update Date:2012-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA51499106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist