Healthcare Provider Details

I. General information

NPI: 1316304389
Provider Name (Legal Business Name): JUSTINE RAHN LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

Provider Other Name: JUSTINE WHITTEN LMFT

II. Dates (important events)

Enumeration Date: 01/21/2016
Last Update Date: 04/01/2026
Certification Date: 04/01/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

PO BOX 591
WINTERS CA
95694-0591
US

IV. Provider business mailing address

PO BOX 591
WINTERS CA
95694-0591
US

V. Phone/Fax

Practice location:
  • Phone: 916-544-7650
  • Fax:
Mailing address:
  • Phone: 916-544-7650
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberIMF89322
License Number StateCA
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number111347
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: