James Russel Luper in Santa Rosa - Marriage & Family Therapist
James Russel Luper - NPI 1770790826
James Russel Luper is a Marriage & Family Therapist in Santa Rosa, California. James Russel Luper practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for James Russel Luper is 1770790826. The last update date is 2015-03-27.
James Russel Luper's current location address is 2665 Santa Rosa Ave # 175, Santa Rosa, California. You can contact this provider via phone number 7075291247 and fax number 7075286238. The mailing address for James Russel Luper is 2665 Santa Rosa Ave # 175, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | James Russel Luper |
|---|---|
| Address | 2665 Santa Rosa Ave # 175, Santa Rosa, California |
| Phone Number | 7075291247 |
| Fax Number | 7075286238 |
| Sole Proprietor | N |
| Credentials | MA, MFT |
NPI Number Detail
| NPI Number | 1770790826 |
|---|---|
| Provider Enumeration Date | 2007-05-17 |
| Last Updated Date | 2015-03-27 |
Provider Mailing Address Detail
| Address | 2665 Santa Rosa Ave # 175 |
|---|---|
| City | Santa Rosa |
| State | California (CA) |
| Post Code | 954077683 |
| Phone Number | 7075291247 |
| Fax Number | 7075286238 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC42057 |
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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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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MFC42057 | CA | MARRIAGE& FAMILYTHERAPIST |
Post Comment/ Review Below
What is the unique identification code assigned to James Russel Luper by the Centers for Medicare & Medicaid Services?
The James Russel Luper has been issued the NPI (National Provider Identifier) 1770790826. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete physical location address of James Russel Luper?
The James Russel Luper is physically situated at 2665 Santa Rosa Ave # 175, in the city of Santa Rosa, state of CA, with the postal code 954077683.
What is the James Russel Luper's area of specialization and corresponding taxonomy classification?
The James Russel Luper's specialty field is Marriage & Family Therapist, and it falls under the taxonomy code 106H00000X, which categorizes healthcare providers based on their specialties.
On what date did James Russel Luper receive its 1770790826 assignment from the Centers for Medicare & Medicaid Services?
The James Russel Luper was assigned its 1770790826 on 2007-05-17, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
As of what date was the information pertaining to James Russel Luper, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to James Russel Luper, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2015-03-27.
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