Individual provider · Type 1 NPI
Christina Marie Holst Tyhurst, LCSW
Clinical Social Worker · Fairfield, CA
Practice location
5184 Julia Berger Cir
Fairfield, CA 94534-4283
Mailing address
5063 Midway Rd
Vacaville, CA 95688-9697
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Clinical Social Worker Primary | 1041C0700X | 115112 (CA) |
| Mental Health Counselor | 101YM0800X | None listed |
Clinical Social Worker: A social worker who holds a master's or doctoral degree in social work from an accredited school of social work in addition to at least two years of post-master's supervised experience in a clinical setting. The social worker must be licensed, certified, or registered at the clinical level in the jurisdiction of practice. A clinical social worker provides direct services, including interventions focused on interpers…
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About NPI 1821297904
Christina Marie Holst Tyhurst, LCSW's National Provider Identifier is 1821297904, issued on Jul 17, 2007. The primary taxonomy on file is Clinical Social Worker (1041C0700X), and the practice location is in Fairfield, CA. The record was last updated on Dec 12, 2024.