Individual
MR. CHRIS NEIL RENDON RABANERA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LMFT
Contact information
Practice address
75 BUSCHLEN RD STE 101, BAD AXE, MI 48413-9177
(989) 623-9300
(760) 788-9754
Mailing address
75 BUSCHLEN RD STE 101, BAD AXE, MI 48413-9177
(989) 623-9300
Taxonomy
Speciality
Code
Description
License number
State
106H00000X
Marriage & Family Therapist
Primary
IMF 63843
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
4101006876
STATE LICENSE
MI
Enumeration date
05/16/2011
Last updated
05/07/2021
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