Provider Demographics
NPI:1588120364
Name:RAABSMITH, JOANNA (LMFT)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:
Last Name:RAABSMITH
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 1:1456 SUNDANCE AVE
Mailing Address - Street 2:
Mailing Address - City:SAN MARCOS
Mailing Address - State:CA
Mailing Address - Zip Code:92078-7999
Mailing Address - Country:US
Mailing Address - Phone:213-392-0454
Mailing Address - Fax:
Practice Address - Street 1:2766 GATEWAY RD
Practice Address - Street 2:
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92009-1730
Practice Address - Country:US
Practice Address - Phone:626-803-2236
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-02-15
Last Update Date:2019-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA111791106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist