Mary Jo Ahlborn, M.A., MFT
Individual provider Active NPI Marriage & Family Therapist · Berkeley, CA
NPI 1396994752 · NPPES record last updated Sep 10, 2008
Key facts
- NPI
- 1396994752
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC30765 (CA)
- Practice address
- 1708 Shattuck Ave
Berkeley, CA 94709-1700 - Phone
- (415) 388-8443
- NPI assigned
- Sep 10, 2008
- 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
- Credentials
- Master of Arts
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| MFC30765 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC30765 | CA | Yes |
Addresses
Primary practice location
1708 Shattuck Ave
Berkeley, CA 94709-1700
Mailing address
1708 Shattuck Ave
Berkeley, CA 94709-1700
Phone (415) 388-8443
Other providers in Berkeley, CA
- Celeste Agos-Fikiri
- Laura Elizabeth Aguiar
- Heidi Aguilar
- Maria Belinda Aguilera
- Janelle Marie Aguirre
- Saba Ahmadi
- Alisha Ahmed
- Hauwa Eve Ahmed
- Irfan Ahmed
- Jessica Ahmed
All providers in Berkeley, 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 Sep 10, 2008. 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.