Individual provider · Type 1 NPI

Thedoria D. Ejimadu

Marriage & Family Therapist · Fairfield, CA

NPI number 1417264755 Active

Practice location

275 Beck Ave.
Fairfield, CA 94533

Call (707) 784-1934 Map

Mailing address

2428 Hooftrail Way
Antioch, CA 94531-8919

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X114499 (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 1417264755

Thedoria D. Ejimadu's National Provider Identifier is 1417264755, issued on Sep 8, 2010. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fairfield, CA. The record was last updated on Apr 5, 2023.