Charles Ambrose Banzon in San Diego - Marriage & Family Therapist
Charles Ambrose Banzon - NPI 1457422966
Charles Ambrose Banzon is a Marriage & Family Therapist in San Diego, California. Charles Ambrose Banzon practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Charles Ambrose Banzon is 1457422966. The last update date is 2018-03-17.
Charles Ambrose Banzon's current location address is 2204 National Ave, San Diego, California. You can contact this provider via phone number 6195152355. The mailing address for Charles Ambrose Banzon is 2204 National Ave, San Diego, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Charles Ambrose Banzon |
|---|---|
| Address | 2204 National Ave, San Diego, California |
| Phone Number | 6195152355 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1457422966 |
|---|---|
| Provider Enumeration Date | 2006-11-13 |
| Last Updated Date | 2018-03-17 |
Provider Mailing Address Detail
| Address | 2204 National Ave |
|---|---|
| City | San Diego |
| State | California (CA) |
| Post Code | 921133615 |
| Phone Number | 6195152355 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | 49126 |
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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 Charles Ambrose Banzon by the Centers for Medicare & Medicaid Services?
The Charles Ambrose Banzon has been assigned the NPI (National Provider Identifier) 1457422966. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Charles Ambrose Banzon is physically located?
The Charles Ambrose Banzon is physically situated at the following address: 2204 National Ave, San Diego, CA, 921133615.
What is Charles Ambrose Banzon's specialized field of practice, and what is the corresponding taxonomy classification code?
The Charles Ambrose Banzon's area of specialization is Marriage & Family Therapist, and the corresponding taxonomy code that categorizes this field of practice is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services assign the 1457422966 to Charles Ambrose Banzon?
The Centers for Medicare & Medicaid Services assigned the 1457422966 to Charles Ambrose Banzon on 2006-11-13.
As of what date were the Charles Ambrose Banzon's details last updated?
The information pertaining to the Charles Ambrose Banzon, including its address, specialty, and other details, was most recently updated on 2018-03-17.