Provider Demographics
NPI:1063897445
Name:HORVATH, REBECCA NOEL (LMFT)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:NOEL
Last Name:HORVATH
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:MS
Other - First Name:REBECCA
Other - Middle Name:
Other - Last Name:CHASE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:4918 BOWMAN OAKS WAY
Mailing Address - Street 2:
Mailing Address - City:CARMICHAEL
Mailing Address - State:CA
Mailing Address - Zip Code:95608-3130
Mailing Address - Country:US
Mailing Address - Phone:916-425-4700
Mailing Address - Fax:
Practice Address - Street 1:4918 BOWMAN OAKS WAY
Practice Address - Street 2:
Practice Address - City:CARMICHAEL
Practice Address - State:CA
Practice Address - Zip Code:95608-3130
Practice Address - Country:US
Practice Address - Phone:916-425-4700
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-27
Last Update Date:2022-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA79495106H00000X
CA88109106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist