Individual provider · Type 1 NPI

Gaea Keridwyn Coon

Marriage & Family Therapist · Santa Rosa, CA

NPI number 1982135992 Active

Practice location

850 3rd St
Santa Rosa, CA 95404-4529

Mailing address

5647 Raters Dr
Santa Rosa, CA 95409-4382

Specialties and licenses

TaxonomyCodeLicense
Marriage & Family Therapist 106H00000XNone listed
Marriage & Family Therapist Primary 106H00000X102196 (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 1982135992

Gaea Keridwyn Coon's National Provider Identifier is 1982135992, issued on Mar 22, 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 Jun 2, 2021.