Rachel Lynn Davis Coleman

Individual provider Active NPI Marriage & Family Therapist · La Puente, CA

NPI 1336336403 · NPPES record last updated Jun 14, 2011

Key facts

NPI
1336336403
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
Practice address
160 S 7TH Ave
La Puente, CA 91746-3211
Phone
(626) 974-0770
NPI assigned
Oct 2, 2007
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X Yes

Addresses

Primary practice location

160 S 7TH Ave
La Puente, CA 91746-3211

Mailing address

160 S 7TH Ave
La Puente, CA 91746-3211
Phone (626) 974-0770

Other providers in La Puente, CA

All providers in La Puente, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.