Provider Demographics
NPI:1447354881
Name:THOMSON, RHONDA (MFT)
Entity type:Individual
Prefix:
First Name:RHONDA
Middle Name:
Last Name:THOMSON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:RHONDA
Other - Middle Name:
Other - Last Name:LENZ
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:550 ORANGE ST
Mailing Address - Street 2:SUITE E
Mailing Address - City:REDLANDS
Mailing Address - State:CA
Mailing Address - Zip Code:92374-3242
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:550 ORANGE ST
Practice Address - Street 2:SUITE E
Practice Address - City:REDLANDS
Practice Address - State:CA
Practice Address - Zip Code:92374-3242
Practice Address - Country:US
Practice Address - Phone:909-793-2701
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-09-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA36140106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist