Organization · Type 2 NPI
Mycelium Family Therapy, Professional Corporation
Marriage & Family Therapist · Rohnert Park, CA
Practice location
1500 Valley House Dr Ste 210
Rohnert Park, CA 94928-4938
Fax (707) 715-2875
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | None listed |
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…
3 other providers at this address
About NPI 1124957030
Mycelium Family Therapy, Professional Corporation's National Provider Identifier is 1124957030, issued on May 16, 2026. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Rohnert Park, CA. The record was last updated on Jul 10, 2026.