Individual provider · Type 1 NPI

Shannon G. Converse

Marriage & Family Therapist · Modesto, CA

NPI number 1699055673 Active

Practice location

610 14th St
Modesto, CA 95354-2505

Call (209) 524-4858 Map

Mailing address

4208 Fara Biundo Dr
Modesto, CA 95355-9794

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000XNone listed

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 1699055673

Shannon G. Converse's National Provider Identifier is 1699055673, issued on Aug 23, 2011. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Modesto, CA. The record was last updated on Aug 23, 2011.