Theresa Sheppard Alexander, MA, MFT
Individual provider Active NPI Marriage & Family Therapist · Occidental, CA
NPI 1831604669 · NPPES record last updated Dec 1, 2017
Key facts
- NPI
- 1831604669
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Marriage & Family Therapist 106H00000X
- License
- LMFT8509 (CA)
- Practice address
- 3944 Harmony Village Circle
Occidental, CA 95465 - Phone
- (707) 874-9549
- NPI assigned
- Dec 1, 2017
- 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 |
|---|---|---|---|
| LMFT8509 | CA | MD | Marriage & Family Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Marriage & Family Therapist | 106H00000X | LMFT8509 | CA | Yes |
Addresses
Primary practice location
3944 Harmony Village Circle
Occidental, CA 95465
Mailing address
PO Box 574
Valley Ford, CA 94972
Phone (707) 874-9549
Other providers in Occidental, CA
All providers in Occidental, 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 Dec 1, 2017. 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.