MEDICARE: MS. RANDI JEAN RABIN LMFT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	101YM0800X	Mental Health Counselor	LMFT90755	CA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1215398052
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. RANDI JEAN RABIN LMFT

Provider Business Mailing Address
First Line	:	37 HUMPHREY RD
Second Line	:
City	:	SANTA BARBARA
State	:	CA
Zip	:	93108-2811
Country	:	US
Telephone Number	:	805-450-4084
Fax Number	:

Provider Business Practice Location Address
First Line	:	27 E VICTORIA ST
Second Line	:	SUITE M
City	:	SANTA BARBARA
State	:	CA
Zip	:	93101-2619
Country	:	US
Telephone Number	:	805-450-4084
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/07/2016
Last Update Date	:	03/07/2016

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