Jeff A Cramer, MFT

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

NPI 1821136482 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1821136482
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC 38368 (CA)
Practice address
99 East Humboldt Street
Willits, CA 95490
Phone
(707) 459-9900
Fax
(707) 459-9904
NPI assigned
Feb 2, 2007
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

State licenses

LicenseStateTypeSpecialty
MFC 38368CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC 38368 CA Yes

Addresses

Primary practice location

99 East Humboldt Street
Willits, CA 95490

Mailing address

1200 Road M
Redwood Valley, CA 95470-9768
Phone (707) 459-9900

Other providers in Willits, CA

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

Sources for this page

Verify at the official NPI Registry.