Individual provider · Type 1 NPI

Kenneth Nozaa Udo

Marriage & Family Therapist · Fairfield, CA

NPI number 1477033223 Active

Practice location

345 E Travis Blvd
Fairfield, CA 94533-3958

Call (800) 249-4961 Map

Other practice locations

  • 1234 Empire St Ste 1500, Fairfield, CA 94533-5711 · (707) 913-7236

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program 390200000XNone listed
Behavior Technician 106S00000XNone listed
Marriage & Family Therapist Primary 106H00000X123148 (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 1477033223

Kenneth Nozaa Udo's National Provider Identifier is 1477033223, issued on Aug 20, 2018. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Fairfield, CA. The record was last updated on Jun 5, 2025.