Dominique Therese Maccurtin in Petaluma - Marriage & Family Therapist
Dominique Therese Maccurtin - NPI 1669524179
Dominique Therese Maccurtin is a Marriage & Family Therapist in Petaluma, California. Dominique Therese Maccurtin practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Dominique Therese Maccurtin is 1669524179. The last update date is 2020-09-30.
Dominique Therese Maccurtin's current location address is 1200 D Street #7, Petaluma, California. You can contact this provider via phone number 7073435152. The mailing address for Dominique Therese Maccurtin is 1200 D Street #7, Petaluma, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Dominique Therese Maccurtin |
|---|---|
| Address | 1200 D Street #7, Petaluma, California |
| Phone Number | 7073435152 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | LMFT |
NPI Number Detail
| NPI Number | 1669524179 |
|---|---|
| Provider Enumeration Date | 2007-01-17 |
| Last Updated Date | 2020-09-30 |
Provider Mailing Address Detail
| Address | 1200 D Street #7 |
|---|---|
| City | Petaluma |
| State | California (CA) |
| Post Code | 94952 |
| Phone Number | 7073435152 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | LMFT39835 |
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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 provider identifier assigned to Dominique Therese Maccurtin?
The Dominique Therese Maccurtin has been issued the NPI (National Provider Identifier) 1669524179 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code is a unique identification number for healthcare providers.
Could you please provide the complete physical location address of Dominique Therese Maccurtin?
The Dominique Therese Maccurtin is physically situated at 1200 D Street #7, in the city of Petaluma, state of CA, with the postal code 94952.
What is Dominique Therese Maccurtin's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for Dominique Therese Maccurtin is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services originally issue the 1669524179 to Dominique Therese Maccurtin?
The Centers for Medicare & Medicaid Services originally issued the 1669524179 to Dominique Therese Maccurtin on 2007-01-17.
As of what date were the details related to Dominique Therese Maccurtin most recently updated or revised?
The information pertaining to Dominique Therese Maccurtin, including its address, specialty, and other relevant details, was last updated or revised on 2020-09-30.
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