Kathleen Diane Abbadessa, MFT
Individual provider Active NPI Marriage & Family Therapist · Santa Rosa, CA
NPI 1821202102 · NPPES record last updated Jul 8, 2007
Key facts
- NPI
- 1821202102
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- MFC36266 (CA)
- Practice address
- 625 Cherry St
Ste 5
Santa Rosa, CA 95404-4202 - Phone
- (707) 523-6433
- Fax
- (707) 539-2994
- NPI assigned
- May 9, 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 |
|---|---|---|---|
| MFC36266 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | MFC36266 | CA | Yes |
Addresses
Primary practice location
625 Cherry St
Ste 5
Santa Rosa, CA 95404-4202
Mailing address
625 Cherry St
Ste 5
Santa Rosa, CA 95404-4202
Phone (707) 523-6433
Other providers in Santa Rosa, CA
- 4TH Street Laser & Surgery Center Inc
- A Better Way Speech and Language Services, Inc
- A Better Way Speech and Language Services, Inc
- A-C Transportation Services Inc.
- Charlene Abayon
- Michael John Abbadessa
- Khuzeman Abbasi
- James Allen Abbott
- Sarah Abbott
- Angela Abboud
All providers in Santa Rosa, 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.