Individual provider · Type 1 NPI

Mary M. Fossum

Marriage & Family Therapist · Sacramento, CA

NPI number 1245582121 Active

Practice location

1722 Professional Dr
Sacramento, CA 95825-2105

Fax (916) 973-9158

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	MFC40137 (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 1245582121

Mary M. Fossum's National Provider Identifier is 1245582121, issued on Oct 3, 2012. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Sacramento, CA. The record was last updated on Oct 3, 2012.