Provider Demographics
NPI:1861613234
Name:RABE, SEAN JOSHUA (BA)
Entity type:Individual
Prefix:MR
First Name:SEAN
Middle Name:JOSHUA
Last Name:RABE
Suffix:
Gender:M
Credentials:BA
Other - Prefix:MR
Other - First Name:JOSH
Other - Middle Name:
Other - Last Name:RABE
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:BA
Mailing Address - Street 1:4201 SAGE PL
Mailing Address - Street 2:
Mailing Address - City:LOVELAND
Mailing Address - State:CO
Mailing Address - Zip Code:80537-9152
Mailing Address - Country:US
Mailing Address - Phone:303-853-3556
Mailing Address - Fax:303-426-9384
Practice Address - Street 1:4201 SAGE PL
Practice Address - Street 2:
Practice Address - City:LOVELAND
Practice Address - State:CO
Practice Address - Zip Code:80537-9152
Practice Address - Country:US
Practice Address - Phone:303-853-3556
Practice Address - Fax:303-426-9384
Is Sole Proprietor?:No
Enumeration Date:2007-05-01
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes104100000XBehavioral Health & Social Service ProvidersSocial Worker