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MARY V RICHEY MFT CEAP

>> Marriage & Family Therapist >> Behavioral Health & Social Service Providers

Registrant NPI Number: 1457424038

Individual Registrant:
 MARY V RICHEY MFT CEAP
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

Contact information for business:
PO BOX 997  PETALUMA, CA 94953 US
Tel: 707-332-0992  Fax: 707-763-3568

Registration Information:
NPI: 1457424038
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y106H00000XBehavioral Health & Social Service Providers
Marriage & Family Therapist
CA39173

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType




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