William James Formaker in Santa Rosa - Marriage & Family Therapist
William James Formaker - NPI 1811901143
William James Formaker is a Marriage & Family Therapist in Santa Rosa, California. William James Formaker practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for William James Formaker is 1811901143. The last update date is 2007-07-08.
William James Formaker's current location address is 606 Beaver St, Santa Rosa, California. You can contact this provider via phone number 7075445717 and fax number 7078878208. The mailing address for William James Formaker is 606 Beaver St, Santa Rosa, California. To know further, please read the information below!
Provider Profile Detail
Provider Name | William James Formaker |
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Address | 606 Beaver St, Santa Rosa, California |
Phone Number | 7075445717 |
Fax Number | 7078878208 |
Sole Proprietor | Y |
Credentials | MFT |
NPI Number Detail
NPI Number | 1811901143 |
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Provider Enumeration Date | 2006-07-29 |
Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
Address | 606 Beaver St |
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City | Santa Rosa |
State | California (CA) |
Post Code | 954044228 |
Phone Number | 7075445717 |
Fax Number | 7078878208 |
Provider's Primary Taxonomy Detail
Speciality | Marriage & Family Therapist |
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Taxonomy | 106H00000X |
Licence No | MFC29030 |
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 identification code assigned to William James Formaker by the Centers for Medicare & Medicaid Services?
The William James Formaker has been issued the NPI (National Provider Identifier) 1811901143. This 10-digit code serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Where is the William James Formaker located?
The William James Formaker is located at 606 Beaver St, Santa Rosa, CA 954044228.
What is William James Formaker's specialized field of practice, and what is the corresponding taxonomy code that categorizes this area of expertise?
The area of specialization for William James Formaker is Marriage & Family Therapist, and the taxonomy code that classifies this field of practice is 106H00000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1811901143 to William James Formaker?
The William James Formaker received its 1811901143 assignment from the Centers for Medicare & Medicaid Services on 2006-07-29.
When was the William James Formaker's information last updated?
The William James Formaker's information was last updated on 2007-07-08.