Provider Demographics
NPI:1447466214
Name:BAR, RACHEL (LMFT)
Entity type:Individual
Prefix:MS
First Name:RACHEL
Middle Name:
Last Name:BAR
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15720 VENTURA BLVD STE 303
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91436-2985
Mailing Address - Country:US
Mailing Address - Phone:818-986-8865
Mailing Address - Fax:
Practice Address - Street 1:15720 VENTURA BLVD STE 303
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91436-2985
Practice Address - Country:US
Practice Address - Phone:818-986-8865
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC21106106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist