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RAYNA S FREEDMAN MFT INTERN

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1538207360

Individual Registrant:
 RAYNA S FREEDMAN MFT INTERN
Gender: F
Not Sole Proprietor

Location and contact information for practice:
9860 MIDDLE CREEK RD  UPPER LAKE, CA 95485-9265 US
Tel: 707-275-8166  Fax: 707-275-8168

Contact information for business:
237 E GOBBI ST  UKIAH, CA 95482-5551 US
Tel: 707-472-2922  Fax: 707-462-1381

Registration Information:
NPI: 1538207360
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CAIMF 49146

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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