Provider Demographics
NPI:1245888296
Name:DORFMAN, REBECCA JOANN (AMFT, APCC)
Entity type:Individual
Prefix:MRS
First Name:REBECCA
Middle Name:JOANN
Last Name:DORFMAN
Suffix:
Gender:F
Credentials:AMFT, APCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1 LEAGUE UNIT 61993
Mailing Address - Street 2:
Mailing Address - City:IRVINE
Mailing Address - State:CA
Mailing Address - Zip Code:92602-7093
Mailing Address - Country:US
Mailing Address - Phone:949-394-3609
Mailing Address - Fax:
Practice Address - Street 1:250 EL CAMINO REAL STE 213
Practice Address - Street 2:
Practice Address - City:TUSTIN
Practice Address - State:CA
Practice Address - Zip Code:92780-3656
Practice Address - Country:US
Practice Address - Phone:949-229-5448
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-09-03
Last Update Date:2021-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist