Thomas Samuel Haber, MFT

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

NPI 1962542977 · NPPES record last updated Jul 8, 2007

Key facts

NPI
1962542977
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC21463 (CA)
Practice address
242 N Villa Ave
Willows, CA 95988-2641
Phone
(530) 934-6582
Fax
(530) 934-6592
NPI assigned
Feb 7, 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
MFC21463CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC21463 CA Yes

Addresses

Primary practice location

242 N Villa Ave
Willows, CA 95988-2641

Mailing address

242 N Villa Ave
Willows, CA 95988-2641
Phone (530) 934-6582

Other providers in Willows, CA

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

Sources for this page

Verify at the official NPI Registry.