Healthcare Provider Details

I. General information

NPI: 1659424737
Provider Name (Legal Business Name): REBEKAH KAO LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/19/2007
Last Update Date: 04/23/2025
Certification Date: 04/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1038 POST ST
SAN FRANCISCO CA
94109-5603
US

IV. Provider business mailing address

1303 SAN CARLOS AVE
SAN CARLOS CA
94070-2317
US

V. Phone/Fax

Practice location:
  • Phone: 415-775-2636
  • Fax: 415-775-1345
Mailing address:
  • Phone: 650-394-2946
  • Fax: 650-332-2946

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number242
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number49700
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: