Judith R Levin, MFT
Individual provider Active NPI Marriage & Family Therapist · Woodacre, CA
NPI 1710017801 · NPPES record last updated Jul 5, 2022
Key facts
- NPI
- 1710017801
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- 39079 (CA)
- Practice address
- 21 Laurel Ave
Woodacre, CA 94973 - Phone
- (707) 481-7435
- NPI assigned
- Mar 7, 2007
- 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 |
|---|---|---|---|
| MFC 39079 | CA | MD | Mental Health Counselor |
| 39079 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Mental Health Counselor | 101YM0800X | MFC 39079 | CA | |
| Marriage & Family Therapist | 106H00000X | 39079 | CA | Yes |
Addresses
Primary practice location
21 Laurel Ave
Woodacre, CA 94973
Mailing address
PO Box 343
Woodacre, CA 94973-0343
Phone (707) 481-7435
Other providers in Woodacre, CA
- Rose Carr
- County of Marin
- Naomi Schaeffer Draper
- Stephen Feig
- Alane Freund
- Shakti Padmini
- Jana Piazza
- Rosemary Louise Winslow
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 Jul 5, 2022. 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.