Tina Lee Mcdonough MFT MFC 50512

NPI 1962549725 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1962549725
Gender Female
Enumeration Date 01/31/2007
Last Updated 06/22/2013
Entity Type Individual
Active Over 9 years ago
Practice Location
3440 AIRWAY DR STE E
SANTA ROSA CA, 95403-2065, US
Phone (707) 544-3299
Fax (707) 544-6837
Business Location
3440 AIRWAY DR STE E
SANTA ROSA CA, 95403-2065, US
Phone (707) 544-3299
Fax (707) 544-6837
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number IMF51639
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According to our database, Tina Lee Mcdonough MFT MFC 50512 NPI is 1962549725, taxonomy code is 106H00000X and license number is IMF51639, license state is located at California. Tina Lee Mcdonough MFT MFC 50512 physically located at 3440 Airway Dr Ste E, Santa Rosa CA, 95403-2065. NPI Number Tina Lee Mcdonough MFT MFC 50512 has the Individual type.

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1962549725 NPI number is provided on an as is basis without warranty of any kind. 1962549725 is maintained by the National Plan & Provider Enumeration System. The contents of Tina Lee Mcdonough MFT MFC 50512 are for informational purposes only.