Healthcare Provider Details

I. General information

NPI: 1003747031
Provider Name (Legal Business Name): REBECCA FRANCZYK AMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/27/2026
Last Update Date: 05/27/2026
Certification Date: 05/27/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

81 FLINTRIDGE AVE
LADERA RANCH CA
92694-0510
US

IV. Provider business mailing address

81 FLINTRIDGE AVE
LADERA RANCH CA
92694-0510
US

V. Phone/Fax

Practice location:
  • Phone: 949-212-4096
  • Fax:
Mailing address:
  • Phone: 949-212-4096
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number22291
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number163263
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: