Carla J Noto-Vencill, M.A., MFT

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

NPI 1154697019 · NPPES record last updated Mar 26, 2012

Key facts

NPI
1154697019
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
27403 (CA)
Practice address
6265 Highway 9
Felton, CA 95018-9710
Phone
(408) 313-2109
NPI assigned
Mar 26, 2012
Sex
Female
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
Credentials
Master of Arts

State licenses

LicenseStateTypeSpecialty
27403CAMDPsychologist

Interoperability endpoints

  • Direct secure messaging: therapyunlocked.carlanoto-vencill@155920.advancedmd-direct.com

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 27403 CA Yes

Addresses

Primary practice location

6265 Highway 9
Felton, CA 95018-9710

Mailing address

180 Locust Lane
Ben Lomond, CA 95005-9731
Phone (831) 336-0326

Other providers in Felton, CA

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

Sources for this page

Verify at the official NPI Registry.