Mark Richard Waller in Porterville - Marriage & Family Therapist
Mark Richard Waller - NPI 1356521942
Mark Richard Waller is a Marriage & Family Therapist in Porterville, California. Mark Richard Waller practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Mark Richard Waller is 1356521942. The last update date is 2009-05-04.
Mark Richard Waller's current location address is 851 W Morton Ave, Porterville, California. You can contact this provider via phone number 8884016275 and fax number 8884016275. The mailing address for Mark Richard Waller is 851 W Morton Ave, Porterville, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Mark Richard Waller |
|---|---|
| Address | 851 W Morton Ave, Porterville, California |
| Phone Number | 8884016275 |
| Fax Number | 8884016275 |
| Sole Proprietor | Y |
| Credentials | PH.D., MFT |
NPI Number Detail
| NPI Number | 1356521942 |
|---|---|
| Provider Enumeration Date | 2007-11-12 |
| Last Updated Date | 2009-05-04 |
Provider Mailing Address Detail
| Address | 851 W Morton Ave |
|---|---|
| City | Porterville |
| State | California (CA) |
| Post Code | 932573185 |
| Phone Number | 8884016275 |
| Fax Number | 8884016275 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 36233 |
|
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 |
|
Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 36233 | CA | STATE LICENSE NUMBER |
Post Comment/ Review Below
What is the Mark Richard Waller's unique identification number?
The Mark Richard Waller has been assigned the NPI (National Provider Identifier) Number 1356521942 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 street address where Mark Richard Waller is physically located?
The Mark Richard Waller is physically situated at the following address: 851 W Morton Ave, Porterville, CA, 932573185.
What is the Mark Richard Waller's area of specialization and corresponding taxonomy classification?
The Mark Richard Waller's specialty field is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their specialties.
When was the Mark Richard Waller's 1356521942 issued?
The Mark Richard Waller's 1356521942 was issued on 2007-11-12.
When was the Mark Richard Waller's information last updated?
The Mark Richard Waller's information was last updated on 2009-05-04.
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