Doctor Name: | MS. REBECCA L RAND |
NPI Number: | 1487968996 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW |
License Number: | SW 12296 |
Business Practice Address: | 5380 Gulf Of Mexico Dr Suite 105 Longboat Key, FL - 342282048 |
Business Phone Number: | 9412380266 |
Business Fax Number: | 9412445505 |
Mailing Address: | 26154 Madras Ct, PUNTA GORDA |
State: | FL |
Postal Code: | 339832613 |
Phone Number: | 9412244044 |
Fax Number: | 9412244044 |
NPI Enumeration Date: | 07/27/2010 |
NPI Last Update Date: | 05/25/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YP2500X |
License Number: | SW 12296 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Professional |
Taxonomy Definition: |