Tom John Newell

NPI 1942356001 - Marriage & Family Therapist - 106H00000X

NPI Details
NPI 1942356001
Gender Male
Enumeration Date 01/25/2007
Last Updated 08/11/2014
Entity Type Individual
Active Over 9 years ago
Practice Location
1250 CODDINGTOWN CTR
SANTA ROSA CA, 95401-3515, US
Phone (707) 565-7648
Fax
Business Location
1250 CODDINGTOWN CTR
SANTA ROSA CA, 95401-3515, US
Phone
Fax
Toxanomy
Taxonomy Code 106H00000X
License State California
License Number 24309
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According to our database, Tom John Newell NPI is 1942356001, taxonomy code is 106H00000X and license number is 24309, license state is located at California. Tom John Newell physically located at 1250 Coddingtown Ctr, Santa Rosa CA, 95401-3515. NPI Number Tom John Newell has the Individual type.

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1942356001 NPI number is provided on an as is basis without warranty of any kind. 1942356001 is maintained by the National Plan & Provider Enumeration System. The contents of Tom John Newell are for informational purposes only.