Individual provider · Type 1 NPI

Michaela Dawn Mougenkoff, MFT

Mental Health Counselor · Martinez, CA

NPI number 1780726547 Active

Practice location

1340 Arnold Dr
Martinez, CA 94553-4189

Specialties and licenses

TaxonomyCodeLicense
Mental Health Counselor Primary 101YM0800XMFT 27985 (CA)

Mental Health Counselor: Definition to come...

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About NPI 1780726547

Michaela Dawn Mougenkoff, MFT's National Provider Identifier is 1780726547, issued on Feb 12, 2007. The primary taxonomy on file is Mental Health Counselor (101YM0800X), and the practice location is in Martinez, CA. The record was last updated on Jul 8, 2007.