Provider Demographics
NPI:1972112522
Name:HUNTINGTON-ROSENTHAL, ELIZABETH LYN (LMFT)
Entity type:Individual
Prefix:
First Name:ELIZABETH
Middle Name:LYN
Last Name:HUNTINGTON-ROSENTHAL
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 1:1415 VICTOR AVE STE A
Mailing Address - Street 2:
Mailing Address - City:REDDING
Mailing Address - State:CA
Mailing Address - Zip Code:96003-4194
Mailing Address - Country:US
Mailing Address - Phone:530-364-4802
Mailing Address - Fax:
Practice Address - Street 1:1415 VICTOR AVE STE A
Practice Address - Street 2:
Practice Address - City:REDDING
Practice Address - State:CA
Practice Address - Zip Code:96003-4194
Practice Address - Country:US
Practice Address - Phone:530-364-4802
Practice Address - Fax:530-745-6053
Is Sole Proprietor?:No
Enumeration Date:2020-07-29
Last Update Date:2024-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist