Jason Neal Linder, M.A.

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

NPI 1649606187 · NPPES record last updated Mar 3, 2015

Key facts

NPI
1649606187
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
76134 (CA)
Practice address
189 Canyon Road
Fairfax, CA 94930
Phone
(415) 939-4861
NPI assigned
Sep 16, 2013
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
Credentials
Master of Arts

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X 76134 CA Yes

Addresses

Primary practice location

189 Canyon Road
Fairfax, CA 94930

Mailing address

189 Canyon Road
Fairfax, CA 94930
Phone (415) 939-4861

Other providers in Fairfax, CA

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

Sources for this page

Verify at the official NPI Registry.