Individual provider · Type 1 NPI

Susan Kistin, MFT

Marriage & Family Therapist · Sebastopol, CA

NPI number 1962642686 Active

Practice location

820 Gravenstein Ave, Suite 200
Sebastopol, CA 95472-4557

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	MFC41902 (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 1962642686

Susan Kistin, MFT's National Provider Identifier is 1962642686, issued on Feb 21, 2009. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Sebastopol, CA. The record was last updated on Feb 21, 2009.