Provider Demographics
NPI:1851452460
Name:RAPACON, RITA RAE
Entity type:Individual
Prefix:MRS
First Name:RITA
Middle Name:RAE
Last Name:RAPACON
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3737 SONOMA BLVD
Mailing Address - Street 2:
Mailing Address - City:VALLEJO
Mailing Address - State:CA
Mailing Address - Zip Code:94589-2201
Mailing Address - Country:US
Mailing Address - Phone:707-553-5586
Mailing Address - Fax:707-553-5824
Practice Address - Street 1:3737 SONOMA BLVD
Practice Address - Street 2:
Practice Address - City:VALLEJO
Practice Address - State:CA
Practice Address - Zip Code:94589-2201
Practice Address - Country:US
Practice Address - Phone:707-553-5586
Practice Address - Fax:707-553-5824
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health