Terisa Lorriane Wolfe, MFTI
Individual provider Active NPI Marriage & Family Therapist · Magalia, CA
NPI 1194885954 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1194885954
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- IMF50887 (CA)
- Practice address
- 14112 Temple Cir
Magalia, CA 95954-9413 - Phone
- (530) 876-1913
- NPI assigned
- Dec 11, 2006
- 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
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| IMF50887 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | IMF50887 | CA | Yes |
Addresses
Primary practice location
14112 Temple Cir
Magalia, CA 95954-9413
Mailing address
14112 Temple Cir
Magalia, CA 95954-9413
Phone (530) 876-1913
Other names
- Terisa Lorriane Brewer
Other providers in Magalia, CA
All providers in Magalia, 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 Jul 8, 2007. 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.