Provider Demographics
NPI:1003709973
Name:YOSHIMURA, RITA COUFAL (PSYD, LMFT)
Entity type:Individual
Prefix:
First Name:RITA
Middle Name:COUFAL
Last Name:YOSHIMURA
Suffix:
Gender:F
Credentials:PSYD, LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1255 10TH ST UNIT 304
Mailing Address - Street 2:
Mailing Address - City:SANTA MONICA
Mailing Address - State:CA
Mailing Address - Zip Code:90401-1915
Mailing Address - Country:US
Mailing Address - Phone:310-430-2977
Mailing Address - Fax:
Practice Address - Street 1:1255 10TH ST UNIT 304
Practice Address - Street 2:
Practice Address - City:SANTA MONICA
Practice Address - State:CA
Practice Address - Zip Code:90401-1915
Practice Address - Country:US
Practice Address - Phone:310-430-2977
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-05-30
Last Update Date:2025-05-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CALMFT23881106H00000X
CAMFT23881106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist