Doctor Name: | REBECCA LOVE |
NPI Number: | 1881057529 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | ASW |
License Number: | |
Business Practice Address: | 4001 Hwy 104 Ione, CA - 95640 |
Business Phone Number: | 2094744911 |
Business Fax Number: | |
Mailing Address: | 3621 Waynart Ct, CARMICHAEL |
State: | CA |
Postal Code: | 956082861 |
Phone Number: | |
Fax Number: | |
NPI Enumeration Date: | 03/31/2016 |
NPI Last Update Date: | 03/31/2016 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 1041C0700X |
License Number: | |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Social Worker |
Taxonomy Specialization: | Clinical |
Taxonomy Definition: | A social worker who holds a master |