Rose Carr, AMFT
Individual provider Active NPI Marriage & Family Therapist · Woodacre, CA
NPI 1124837349 · NPPES record last updated Jan 2, 2025
Key facts
- NPI
- 1124837349
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 151168 (CA)
- Practice address
- 182 San Geronimo Valley Dr.
Woodacre, CA 94973 - Phone
- (415) 488-0454
- NPI assigned
- Jan 2, 2025
- Sex
- Female
- Sole proprietor
- No
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 |
|---|---|---|---|
| 151168 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | 151168 | CA | Yes |
Addresses
Primary practice location
182 San Geronimo Valley Dr.
Woodacre, CA 94973
Mailing address
142 8TH Ave
San Francisco, CA 94118-1211
Phone (415) 308-9729
Other providers in Woodacre, CA
All providers in Woodacre, 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 Jan 2, 2025. 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.