Individual provider · Type 1 NPI
Guinivere Ann Bork, MFT
Marriage & Family Therapist · Placerville, CA
Practice location
319 Main St, Suite 7
Placerville, CA 95667-5605
Fax (530) 344-8020
Mailing address
PO Box 1653
Placerville, CA 95667-1653
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Marriage & Family Therapist Primary | 106H00000X | MFC 34605 (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 1447357066
Guinivere Ann Bork, MFT's National Provider Identifier is 1447357066, issued on Sep 17, 2006. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Placerville, CA. The record was last updated on Jul 8, 2007.