Provider Demographics
NPI:1801278403
Name:JOMAA, RIMA DANIELLE (MA, MFT)
Entity type:Individual
Prefix:
First Name:RIMA
Middle Name:DANIELLE
Last Name:JOMAA
Suffix:
Gender:F
Credentials:MA, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:229 AVENIDA VICTORIA
Mailing Address - Street 2:APT 2
Mailing Address - City:SAN CLEMENTE
Mailing Address - State:CA
Mailing Address - Zip Code:92672-1917
Mailing Address - Country:US
Mailing Address - Phone:310-963-9545
Mailing Address - Fax:
Practice Address - Street 1:229 AVENIDA VICTORIA
Practice Address - Street 2:APT 2
Practice Address - City:SAN CLEMENTE
Practice Address - State:CA
Practice Address - Zip Code:92672-1917
Practice Address - Country:US
Practice Address - Phone:310-963-9545
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-06-19
Last Update Date:2015-06-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA82229106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist