Carrie McCluer, MFT

Individual provider Active NPI Marriage & Family Therapist · Crockett, CA

NPI 1033264254 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1033264254
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC28082 (CA)
Practice address
628 2ND Ave Ste 204
Crockett, CA 94525-1175
Phone
(510) 787-6960
Fax
(510) 787-6960
NPI assigned
Jan 25, 2007
Sex
Female
Sole proprietor
Yes

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
MFC28082CAMDMarriage & Family Therapist

Practice roles

OrganizationSpecialtyStatusNew patients
Carrie McCluer & Associates Past Accepting new patients

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC28082 CA Yes

Addresses

Primary practice location

628 2ND Ave Ste 204
Crockett, CA 94525-1175

Mailing address

PO Box 23993
Pleasant Hill, CA 94523-0993
Phone (510) 787-6960

Other providers in Crockett, CA

All providers in Crockett, CA · Marriage & Family Therapist in California

Sources for this page

Verify at the official NPI Registry.