Susan J Bridge-Mount in Boonville - Marriage & Family Therapist
Susan J Bridge-Mount - NPI 1255471595
Susan J Bridge-Mount is a Marriage & Family Therapist in Boonville, California. Susan J Bridge-Mount practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Susan J Bridge-Mount is 1255471595. The last update date is 2007-07-08.
Susan J Bridge-Mount's current location address is Po Box 582, Boonville, California. You can contact this provider via phone number 7078959080. The mailing address for Susan J Bridge-Mount is Po Box 582, Boonville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Susan J Bridge-Mount |
|---|---|
| Address | Po Box 582, Boonville, California |
| Phone Number | 7078959080 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1255471595 |
|---|---|
| Provider Enumeration Date | 2007-02-07 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 582 |
|---|---|
| City | Boonville |
| State | California (CA) |
| Post Code | 954150582 |
| Phone Number | 7078959080 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC 38541 |
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Definition: 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 |
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What is the Susan J Bridge-Mount's 1255471595?
The Susan J Bridge-Mount's NPI (National Provider Identifier) Number is 1255471595. This unique 10-digit identification number is assigned to health care providers by the Centers for Medicare & Medicaid Services (CMS).
Could you please share the complete physical location address where Susan J Bridge-Mount's facilities are situated?
The facilities of Susan J Bridge-Mount are physically located at the following address: Po Box 582, Boonville, CA, 954150582.
What is the Susan J Bridge-Mount's specialty and taxonomy code?
The Susan J Bridge-Mount's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date did the Susan J Bridge-Mount receive the assignment of its 1255471595 from the Centers for Medicare & Medicaid Services?
The Susan J Bridge-Mount was issued its 1255471595 by the Centers for Medicare & Medicaid Services on 2007-02-07.
As of what date were the Susan J Bridge-Mount's details last updated?
The information pertaining to the Susan J Bridge-Mount, including its address, specialty, and other details, was most recently updated on 2007-07-08.