Eric Carl Vedborg in Fortuna - Marriage & Family Therapist
Eric Carl Vedborg - NPI 1003943960
Eric Carl Vedborg is a Marriage & Family Therapist in Fortuna, California. Eric Carl Vedborg practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Eric Carl Vedborg is 1003943960. The last update date is 2007-07-08.
Eric Carl Vedborg's current location address is Po Box 574, Fortuna, California. You can contact this provider via phone number 7072682935. The mailing address for Eric Carl Vedborg is Po Box 574, Fortuna, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Eric Carl Vedborg |
|---|---|
| Address | Po Box 574, Fortuna, California |
| Phone Number | 7072682935 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1003943960 |
|---|---|
| Provider Enumeration Date | 2007-02-27 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | Po Box 574 |
|---|---|
| City | Fortuna |
| State | California (CA) |
| Post Code | 955400574 |
| Phone Number | 7072682935 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 36406 |
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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 unique identifier code issued to Eric Carl Vedborg by the Centers for Medicare & Medicaid Services?
The Eric Carl Vedborg has been assigned the NPI (National Provider Identifier) 1003943960. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Can you provide the Eric Carl Vedborg's physical address?
The Eric Carl Vedborg is physically located at Po Box 574, in the city of Fortuna, CA, with the postal code 955400574.
What is the Eric Carl Vedborg's area of specialization and corresponding taxonomy classification?
The Eric Carl Vedborg's specialty field is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their specialties.
When did the Eric Carl Vedborg receive its 1003943960?
The Eric Carl Vedborg was issued its 1003943960 on 2007-02-27, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Eric Carl Vedborg, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Eric Carl Vedborg, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2007-07-08.