Johnson, Rebecca Marie
Johnson, Rebecca Marie is an sole proprietor health care provider with primary practice located at 21 Tamal Vista Blvd Suite 210, Corte Madera CA 94925-1130. She recently has only one registered license in Behavioral Health & Social Service Providers / Mental Health, which is considered as her primary health care specialty. Johnson, Rebecca Marie can be contacted via phone (415) 820-1612.Contact Information
Primary practice address
21 Tamal Vista Blvd Suite 210
Corte Madera CA 94925-1130
Phone: (415) 820-1612
Fax: (415) 747-8479
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Behavioral Health & Social Service Providers / Mental Health | 101YM0800X |
Profile Details
| NPI number | 1508116237 |
|---|---|
| LBN Legal business name | Johnson, Rebecca Marie |
| Credentials | LMFT |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Sep 10th, 2012 |
| Last updated | Dec 31st, 2014 - about 10 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1508116237 | NPPES |
| California | Other | 79769 | LICENSED MARRIAGE & FAMILY THERPAIST NUMBER |
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