Individual provider · Type 1 NPI

Diane Elizabeth Shrock, LMFT

Marriage & Family Therapist · Petaluma, CA

NPI number 1861693574 Active

Practice location

320 Western Ave
Petaluma, CA 94952-2919

Call (707) 566-7712 Map

Fax (707) 829-3170

Mailing address

2817 Claremont Dr
Santa Rosa, CA 95405-6868

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	MFC33832 (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 1861693574

Diane Elizabeth Shrock, LMFT's National Provider Identifier is 1861693574, issued on May 30, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Petaluma, CA. The record was last updated on Jul 8, 2007.