Provider Demographics
NPI:1043926041
Name:HADDAD, VERONICA RAHAL
Entity type:Individual
Prefix:
First Name:VERONICA
Middle Name:RAHAL
Last Name:HADDAD
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:V.
Other - Middle Name:
Other - Last Name:HADDAD
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:
Mailing Address - Street 1:4208 ROSEDALE HWY # 302-248
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93308-6170
Mailing Address - Country:US
Mailing Address - Phone:424-279-8373
Mailing Address - Fax:
Practice Address - Street 1:4208 ROSEDALE HWY # 302-248
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93308-6170
Practice Address - Country:US
Practice Address - Phone:424-279-8373
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-01-24
Last Update Date:2025-08-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA155627106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist