Jeffery Douglas Wilfong in Sacramento - Marriage & Family Therapist
Jeffery Douglas Wilfong - NPI 1023167749
Jeffery Douglas Wilfong is a Marriage & Family Therapist in Sacramento, California. Jeffery Douglas Wilfong practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Jeffery Douglas Wilfong is 1023167749. The last update date is 2020-11-20.
Jeffery Douglas Wilfong's current location address is Po Box 19546, Sacramento, California. You can contact this provider via phone number 5308643218 and fax number 9164929396. The mailing address for Jeffery Douglas Wilfong is Po Box 19546, Sacramento, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Jeffery Douglas Wilfong |
|---|---|
| Address | Po Box 19546, Sacramento, California |
| Phone Number | 5308643218 |
| Fax Number | 9164929396 |
| Sole Proprietor | N |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1023167749 |
|---|---|
| Provider Enumeration Date | 2007-01-10 |
| Last Updated Date | 2020-11-20 |
Provider Mailing Address Detail
| Address | Po Box 19546 |
|---|---|
| City | Sacramento |
| State | California (CA) |
| Post Code | 958190546 |
| Phone Number | 5308643218 |
| Fax Number | 9164929396 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 46654 |
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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 Jeffery Douglas Wilfong?
The Jeffery Douglas Wilfong has been issued the NPI (National Provider Identifier) 1023167749 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 Jeffery Douglas Wilfong?
The Jeffery Douglas Wilfong is physically situated at Po Box 19546, in the city of Sacramento, state of CA, with the postal code 958190546.
What is the Jeffery Douglas Wilfong's specialty and taxonomy code?
The Jeffery Douglas Wilfong's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date did Jeffery Douglas Wilfong receive its 1023167749 assignment from the Centers for Medicare & Medicaid Services?
The Jeffery Douglas Wilfong was assigned its 1023167749 on 2007-01-10, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Jeffery Douglas Wilfong most recently updated or refreshed?
The details pertaining to the Jeffery Douglas Wilfong, including its address, specialty, and other relevant information, were last updated or refreshed on 2020-11-20.