Individual provider · Type 1 NPI

Genell Leslie Restivo, MFT

Marriage & Family Therapist · Redding, CA

NPI number 1194747170 Active

Practice location

855 Canyon Rd
Redding, CA 96001-5544

Fax (530) 232-1444

Mailing address

29864 Paradise Hill Ln
Shingletown, CA 96088-9416

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X52551 (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 1194747170

Genell Leslie Restivo, MFT's National Provider Identifier is 1194747170, issued on Jul 25, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Redding, CA. The record was last updated on Dec 5, 2012.