Individual provider · Type 1 NPI

Roberta Margaret Elledge, LMFT

Marriage & Family Therapist · Modesto, CA

NPI number 1003028473 Active

Practice location

819 15th St
Modesto, CA 95354-1113

Fax (209) 522-5700

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	MFC31467 (CA)

Marriage & Family Therapist: A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats ment…

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About NPI 1003028473

Roberta Margaret Elledge, LMFT's National Provider Identifier is 1003028473, issued on May 5, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Modesto, CA. The record was last updated on Jul 8, 2007.