Search › California › 1041C0700X
Rathaphone Boutah, LCSW
NPI 1992881908 · on the registry since 2006 · sole proprietor
Practice
- Address
- 2307 Fenton Pkwy Ste 107-9
San Diego, CA 92108 - Phone
- (858) 707-5205
- Organisation at this address
- Ever Rising Marriage And Family Therapy
Inferred from a shared address, not stated in the registry.
Registry record
- Primary taxonomy
- 1041C0700X
1041C0700X
- Licence states on file
- CA
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2023-10-10
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in California