Anthony Halcon, LMFT
Individual provider Active NPI Marriage & Family Therapist · King City, CA
NPI 1104980556 · NPPES record last updated May 19, 2021
Key facts
- NPI
- 1104980556
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 44910 (CA)
- Practice address
- 200 Broadway St Ste 88
King City, CA 93930-2867 - Phone
- (831) 386-6851
- NPI assigned
- Dec 20, 2006
- Sex
- Male
- Sole proprietor
- Yes
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 44910 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 44910 | CA | Yes |
Addresses
Primary practice location
200 Broadway St Ste 88
King City, CA 93930-2867
Mailing address
200 Broadway St Ste 88
King City, CA 93930-2867
Phone (831) 386-6851
Other providers in King City, CA
- Blanca Grado
- George Christopher Graveline
- Bruce Greenberg
- Juan Carlos Guereca Romero
- Carla G Guzman
- Hamlet Karapetian DMD Inc.
- Diane Lynn Hardy
- Elizabeth Heidler
- Hermanson Medical Group a Professional Corporation
- Christopher G Hermanson
All providers in King City, CA · Marriage & Family Therapist in California
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on May 19, 2021. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.