Gary L Moline in Santa Rosa - Marriage & Family Therapist
Gary L Moline - NPI 1518176643
Gary L Moline is a Marriage & Family Therapist in Santa Rosa, California. Gary L Moline practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Gary L Moline is 1518176643. The last update date is 2007-07-08.
Gary L Moline's current location address is 73 Saint James Dr, Santa Rosa, California. You can contact this provider via phone number 7075711714. The mailing address for Gary L Moline is 73 Saint James Dr, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Gary L Moline |
|---|---|
| Address | 73 Saint James Dr, Santa Rosa, California |
| Phone Number | 7075711714 |
| Fax Number | |
| Sole Proprietor | Y |
| Credentials | MFT |
NPI Number Detail
| NPI Number | 1518176643 |
|---|---|
| Provider Enumeration Date | 2007-05-22 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 73 Saint James Dr |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954031419 |
| Phone Number | 7075711714 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC 015483 |
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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 10-digit identification code issued to Gary L Moline by the Centers for Medicare & Medicaid Services?
The Gary L Moline has been assigned the NPI (National Provider Identifier) 1518176643 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you share the physical location details of Gary L Moline?
The Gary L Moline is situated at 73 Saint James Dr, in the city of Santa Rosa, state of CA, with the zip code 954031419.
What is Gary L Moline's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?
The primary field of medical specialization for Gary L Moline is Marriage & Family Therapist, and the taxonomy classification code that categorizes this area of expertise is 106H00000X.
On what date was the 1518176643 assigned to Gary L Moline?
The Gary L Moline was issued its 1518176643 on 2007-05-22, which is the date when this unique identifier was assigned to the organization by the Centers for Medicare & Medicaid Services.
When was the information related to Gary L Moline most recently updated or refreshed?
The details pertaining to the Gary L Moline, including its address, specialty, and other relevant information, were last updated or refreshed on 2007-07-08.