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Individual
MS. WENDY ANDERSON RAB
Active
Individual
MS. WENDY ANDERSON RAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LCSW, MFCC
Taxonomy
Speciality
Code
Description
License number
State
101YM0800X
Mental Health Counselor
Primary
LCS 16810
CA
101YM0800X
Mental Health Counselor
MFC30090
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
54220ZZZ54134Z
BLUE SHIELD
CA
Enumeration date
08/30/2006
Last updated
09/15/2009
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