Provider Demographics
NPI:1932585189
Name:WARD, REBECCA A (LMFT)
Entity type:Individual
Prefix:
First Name:REBECCA
Middle Name:A
Last Name:WARD
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 1:150 HARBOR DR STE 2538
Mailing Address - Street 2:
Mailing Address - City:SAUSALITO
Mailing Address - State:CA
Mailing Address - Zip Code:94965-9900
Mailing Address - Country:US
Mailing Address - Phone:415-527-6778
Mailing Address - Fax:
Practice Address - Street 1:615 SPRING ST
Practice Address - Street 2:
Practice Address - City:SAUSALITO
Practice Address - State:CA
Practice Address - Zip Code:94965-1725
Practice Address - Country:US
Practice Address - Phone:415-527-6778
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2015-08-10
Last Update Date:2025-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA90466106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist