Individual provider · Type 1 NPI

Carolyn Detierra, MFT

Marriage & Family Therapist · Santa Rosa, CA

NPI number 1780090571 Active

Practice location

480 Tesconi Cir Ste B
Santa Rosa, CA 95401-4691

Call (707) 583-1456 Map

Mailing address

1958 Alamo Ln
Santa Rosa, CA 95407-8908

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X45053 (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 1780090571

Carolyn Detierra, MFT's National Provider Identifier is 1780090571, issued on Jul 1, 2014. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Santa Rosa, CA. The record was last updated on May 19, 2022.