Individual provider · Type 1 NPI

Tamara Ice

Marriage & Family Therapist · Sebastopol, CA

NPI number 1356487771 Active

Practice location

820 Gravenstein Ave Ste 200
Sebastopol, CA 95472-4557

Mailing address

8684 Trenton Rd
Forestville, CA 95436-9657

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XIMF44768 (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 1356487771

Tamara Ice's National Provider Identifier is 1356487771, issued on Jan 30, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Sebastopol, CA. The record was last updated on Mar 30, 2012.