Tom Fuller in Ukiah - Marriage & Family Therapist
Tom Fuller - NPI 1386790764
Tom Fuller is a Marriage & Family Therapist in Ukiah, California. Tom Fuller practices all healthcare services and medical treatments related to Marriage & Family Therapist. The NPI Number for Tom Fuller is 1386790764. The last update date is 2007-07-08.
Tom Fuller's current location address is 518 S School St, Ukiah, California. You can contact this provider via phone number 7074630901 and fax number 7074630901. The mailing address for Tom Fuller is 518 S School St, Ukiah, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Tom Fuller |
|---|---|
| Address | 518 S School St, Ukiah, California |
| Phone Number | 7074630901 |
| Fax Number | 7074630901 |
| Sole Proprietor | Y |
| Credentials | M.F.T. |
NPI Number Detail
| NPI Number | 1386790764 |
|---|---|
| Provider Enumeration Date | 2007-01-26 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 518 S School St |
|---|---|
| City | Ukiah |
| State | California (CA) |
| Post Code | 954825479 |
| Phone Number | 7074630901 |
| Fax Number | 7074630901 |
Provider's Primary Taxonomy Detail
| Speciality | Marriage & Family Therapist |
|---|---|
| Taxonomy | 106H00000X |
| Licence No | MFC 29968 |
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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 Tom Fuller by the Centers for Medicare & Medicaid Services?
The Tom Fuller has been assigned the NPI (National Provider Identifier) 1386790764 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for healthcare providers.
Could you please share the complete physical location address where Tom Fuller's facilities are situated?
The facilities of Tom Fuller are physically located at the following address: 518 S School St, Ukiah, CA, 954825479.
What is the Tom Fuller's specialty and taxonomy code?
The Tom Fuller's specialty is Marriage & Family Therapist, and the corresponding taxonomy code is 106H00000X.
On what date did Tom Fuller receive its 1386790764 assignment from the Centers for Medicare & Medicaid Services?
The Tom Fuller was assigned its 1386790764 on 2007-01-26, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.
When was the Tom Fuller's information last updated?
The Tom Fuller's information was last updated on 2007-07-08.
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