Felicia Matto-shepard MFT

NPI 1679626980 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1679626980
Gender Female
Enumeration Date 01/19/2007
Last Updated 07/08/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
1 BODEGA AVE STE 3
PETALUMA CA, 94952-2672, US
Phone (707) 765-2518
Fax
Business Location
1 BODEGA AVE STE 3
PETALUMA CA, 94952-2672, US
Phone (707) 765-2518
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number MFC31225
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According to our database, Felicia Matto-shepard MFT NPI is 1679626980, taxonomy code is 106H00000X and license number is MFC31225, license state is located at California. Felicia Matto-shepard MFT physically located at 1 Bodega Ave Ste 3, Petaluma CA, 94952-2672. NPI Number Felicia Matto-shepard MFT has the Individual type.

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1679626980 NPI number is provided on an as is basis without warranty of any kind. 1679626980 is maintained by the National Plan & Provider Enumeration System. The contents of Felicia Matto-shepard MFT are for informational purposes only.