Provider Demographics
NPI:1851948392
Name:CARRILLO RODRIGUEZ, REBECA (LMFT151246)
Entity type:Individual
Prefix:
First Name:REBECA
Middle Name:
Last Name:CARRILLO RODRIGUEZ
Suffix:
Gender:F
Credentials:LMFT151246
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 1292
Mailing Address - Street 2:
Mailing Address - City:THERMAL
Mailing Address - State:CA
Mailing Address - Zip Code:92274-1292
Mailing Address - Country:US
Mailing Address - Phone:760-238-8912
Mailing Address - Fax:
Practice Address - Street 1:PO BOX 1292
Practice Address - Street 2:
Practice Address - City:THERMAL
Practice Address - State:CA
Practice Address - Zip Code:92274-1292
Practice Address - Country:US
Practice Address - Phone:760-238-8912
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-08-20
Last Update Date:2025-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist