Lura Hawkins MFTI #71499

NPI 1790177301 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1790177301
Gender Female
Enumeration Date 02/19/2015
Last Updated 03/26/2015
Entity Type Individual
Active Over 1 year ago
Practice Location
539 UPHAM ST
PETALUMA CA, 94952-2652, US
Phone (707) 565-4797
Fax
Business Location
539 UPHAM ST
PETALUMA CA, 94952-2652, US
Phone
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number INTERN # 71499
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According to our database, Lura Hawkins MFTI #71499 NPI is 1790177301, taxonomy code is 106H00000X and license number is INTERN # 71499, license state is located at California. Lura Hawkins MFTI #71499 physically located at 539 Upham St, Petaluma CA, 94952-2652. NPI Number Lura Hawkins MFTI #71499 has the Individual type.

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1790177301 NPI number is provided on an as is basis without warranty of any kind. 1790177301 is maintained by the National Plan & Provider Enumeration System. The contents of Lura Hawkins MFTI #71499 are for informational purposes only.