Provider Demographics
NPI:1285386508
Name:CUMMINGS, REBECCA (LMFT)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:
Last Name:CUMMINGS
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:PO BOX 212272
Mailing Address - Street 2:
Mailing Address - City:CHULA VISTA
Mailing Address - State:CA
Mailing Address - Zip Code:91921-2272
Mailing Address - Country:US
Mailing Address - Phone:917-783-6785
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 212272
Practice Address - Street 2:
Practice Address - City:CHULA VISTA
Practice Address - State:CA
Practice Address - Zip Code:91921-2272
Practice Address - Country:US
Practice Address - Phone:917-783-6785
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2022-01-19
Last Update Date:2024-05-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA145794106H00000X
CA113452101YM0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental HealthGroup - Single Specialty
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist