Doctor Name: | MS. WENDY ANDERSON RAB |
NPI Number: | 1811007719 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | LCSW, MFCC |
License Number: | MFC30090 |
Business Practice Address: | 9264 Madison Ave Rollingwood Office Park Orangevale, CA - 956625858 |
Business Phone Number: | 9169882824 |
Business Fax Number: | 9169882824 |
Mailing Address: | 9264 Madison Ave, Rollingwood Office Park ORANGEVALE |
State: | CA |
Postal Code: | 956625858 |
Phone Number: | 9169882824 |
Fax Number: | 9169882824 |
NPI Enumeration Date: | 08/30/2006 |
NPI Last Update Date: | 09/15/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 101YM0800X |
License Number: | MFC30090 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Counselor |
Taxonomy Specialization: | Mental Health |
Taxonomy Definition: |