Organization · Type 2 NPI

Stanislaus County

Marriage & Family Therapist · Modesto, CA

NPI number 1972704682 Active

Practice location

800 Scenic Dr
Modesto, CA 95350-6131

Specialties and licenses

Taxonomy	Code	License
Marriage & Family Therapist Primary	106H00000X	None listed

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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NPI record

NPI: 1972704682
Entity type: Organization (Type 2)
Issued: May 30, 2007
Last updated: Oct 15, 2019
Status: Active
Subpart: Yes of County of Stanislaus

Other names

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Fee for Service - MFCC · other name
Fee for Service - MFCC · other name

Authorized official

Ruben Imperial, MBA
Behavioral Health Interim Director
(209) 525-6225

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This page mirrors the public NPPES file. For credentialing or billing, confirm it on the official CMS NPI Registry, and check the license with the state board.

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About NPI 1972704682

Stanislaus County's National Provider Identifier is 1972704682, issued on May 30, 2007. The primary taxonomy on file is Marriage & Family Therapist (106H00000X), and the practice location is in Modesto, CA. The record was last updated on Oct 15, 2019.