Individual provider · Type 1 NPI

Anikka L. Goodman-Custodio, LMFT

Marriage & Family Therapist · Santa Rosa, CA

NPI number 1972038198 Active

Practice location

2255 Challenger Way Ste 107
Santa Rosa, CA 95407-5423

Call (707) 565-6174 Map

Mailing address

PO Box 358
Valley Ford, CA 94972-0358

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist Primary 106H00000X131001 (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 1972038198

Anikka L. Goodman-Custodio, LMFT's National Provider Identifier is 1972038198, issued on Apr 25, 2017. 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 Feb 16, 2025.