Provider Demographics
NPI:1366635591
Name:POST-BROUSSARD, RACHEL SIDNEY (AMFT136750)
Entity type:Individual
Prefix:
First Name:RACHEL
Middle Name:SIDNEY
Last Name:POST-BROUSSARD
Suffix:
Gender:F
Credentials:AMFT136750
Other - Prefix:
Other - First Name:RACHEL
Other - Middle Name:SIDNEY
Other - Last Name:POST-BROUSSARD
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:10672 PENDLETON ST
Mailing Address - Street 2:
Mailing Address - City:RIVERSIDE
Mailing Address - State:CA
Mailing Address - Zip Code:92505-1740
Mailing Address - Country:US
Mailing Address - Phone:951-892-9304
Mailing Address - Fax:
Practice Address - Street 1:26624 SAFFRON CIR
Practice Address - Street 2:
Practice Address - City:MORENO VALLEY
Practice Address - State:CA
Practice Address - Zip Code:92555-3834
Practice Address - Country:US
Practice Address - Phone:951-487-8883
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-08-21
Last Update Date:2025-06-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA136750106H00000X
CA106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist