Individual provider · Type 1 NPI

Maggie Rose Self, MFT

Marriage & Family Therapist · Sebastopol, CA

NPI number 1215199054 Active

Practice location

7765 Healdsburg Ave
Sebastopol, CA 95472

Call (707) 583-9518 Map

Mailing address

PO Box 173
Sebastopol, CA 95473-0173

Other practice locations

  • 919 Mcfarlane Ave, Sebastopol, CA 95472-4419 · (707) 583-9518

Specialties and licenses

TaxonomyCodeLicense
Counselor 101Y00000XNone listed
Marriage & Family Therapist Primary 106H00000X53133 (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 1215199054

Maggie Rose Self, MFT's National Provider Identifier is 1215199054, issued on Jul 1, 2008. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Sebastopol, CA. The record was last updated on May 30, 2018.