Mickey Liddeke in Murrieta - Marriage & Family Therapist
Mickey Liddeke - NPI 1043483928
Mickey Liddeke is a Marriage & Family Therapist in Murrieta, California. Mickey Liddeke practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Mickey Liddeke is 1043483928. The last update date is 2009-11-20.
Mickey Liddeke's current location address is 2311 Washington Ave., Murrieta, California. You can contact this provider via phone number 9516771470 and fax number 9516773850. The mailing address for Mickey Liddeke is 2311 Washington Ave., Murrieta, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mickey Liddeke |
|---|---|
| Address | 2311 Washington Ave., Murrieta, California |
| Phone Number | 9516771470 |
| Fax Number | 9516773850 |
| Sole Proprietor | Y |
| Credentials | -- |
NPI Number Detail
| NPI Number | 1043483928 |
|---|---|
| Provider Enumeration Date | 2008-04-10 |
| Last Updated Date | 2009-11-20 |
Provider Mailing Address Detail
| Address | 2311 Washington Ave. |
|---|---|
| City | Murrieta |
| State | California (CA) |
| Post Code | 925642564 |
| Phone Number | 9516771470 |
| Fax Number | 9516773850 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC44069 |
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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 Mickey Liddeke's unique identification number?
The Mickey Liddeke has been assigned the NPI (National Provider Identifier) Number 1043483928 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you please provide the complete physical location address of Mickey Liddeke?
The Mickey Liddeke is physically situated at 2311 Washington Ave., in the city of Murrieta, state of CA, with the postal code 925642564.
What is Mickey Liddeke's area of expertise and its corresponding taxonomy classification?
The Mickey Liddeke's field of specialization is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their areas of practice.
When did the Mickey Liddeke receive its 1043483928?
The Mickey Liddeke was issued its 1043483928 on 2008-04-10, which is the date when the organization was assigned this unique identifier.
As of what date was the information regarding Mickey Liddeke, such as address, specialty, and other details, last verified and confirmed to be up-to-date?
The information related to Mickey Liddeke, including its address, specialty, and other relevant details, was last verified and confirmed to be up-to-date on 2009-11-20.