Individual provider · Type 1 NPI

Rebecca Pegoda-Hallock

Marriage & Family Therapist · Capitola, CA

NPI number 1194121699 Active

Practice location

4245 Capitola Rd Ste 205
Capitola, CA 95010-3573

Fax (408) 524-4911

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XMFT32878 (CA)
Marriage & Family Therapist Primary 106H00000XT1721 (OR)

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 1194121699

Rebecca Pegoda-Hallock's National Provider Identifier is 1194121699, issued on Nov 10, 2014. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Capitola, CA. The record was last updated on Jul 20, 2026.