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MARY V RICHEY MFT CEAP
>> Marriage & Family Therapist >> Behavioral Health & Social Service ProvidersRegistrant NPI Number: 1457424038
Individual Registrant: MARY V RICHEY MFT CEAP
Gender: F
Not Sole Proprietor
Gender: F
Not Sole Proprietor
Location and contact information for practice:
115 LIBERTY ST #9 PETALUNA, CA 94952 US
Tel: 707-332-0992 Fax: 707-763-3568
Tel: 707-332-0992 Fax: 707-763-3568
Contact information for business:
PO BOX 997 PETALUMA, CA 94953 US
Tel: 707-332-0992 Fax: 707-763-3568
Tel: 707-332-0992 Fax: 707-763-3568
Registration Information:
NPI: 1457424038
Entity Type: Individual
Entity Type: Individual
Specialty information:
| Primary | Code | Category/Description | State | License Number |
|---|---|---|---|---|
| Y | 106H00000X | Behavioral Health & Social Service Providers Marriage & Family Therapist | CA | 39173 |
Legacy codes, insurance codes and state license numbers:
| Issuer | Number | State | Type |
|---|---|---|---|
