Basic Information
| Provider Information | |||||||||
| NPI: | 1023388501 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | KAHN | ||||||||
| FirstName: | REBECCA | ||||||||
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| Credential: | LMFT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 2355 WESTWOOD BLVD # 919 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900642109 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4802391348 | ||||||||
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| Practice Location | |||||||||
| Address1: | 10944 ROSE AVE APT 7 | ||||||||
| Address2: | |||||||||
| City: | LOS ANGELES | ||||||||
| State: | CA | ||||||||
| PostalCode: | 900345385 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4802391348 | ||||||||
| FaxNumber: | |||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 12/30/2011 | ||||||||
| LastUpdateDate: | 06/22/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 06/22/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 106H00000X | 85019 | CA | N | Behavioral Health & Social Service Providers | Marriage & Family Therapist | 106H00000X | LMFT85019 | CA | Y | Behavioral Health & Social Service Providers | Marriage & Family Therapist |
No ID Information.