Jeffery D. Wilfong, Marriage, Child, and Family Counseling, Inc.

Primary specialty

Marriage & Family TherapistTaxonomy code 106H00000X

License

MFCC 46654 Issued in CA

Legal business name

JEFFERY D. WILFONG, MARRIAGE, CHILD, AND FAMILY COUNSELING, INC.

Practice address

900 Fulton Ave Ste 270
Sacramento, CA 95825-4516

Phone

(888) 511-4269

Fax

(888) 511-4258

NPI assigned

Jun 1, 2012

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Jeffery Douglas Wilfong, MFT

Title

President

Phone

(888) 511-4269

Specialties & licenses 1

Addresses

Other names 1

• Cypress Holistic Center Doing business as

Locations

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1338508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1338508800000",
    "number": "1972864320",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 191381",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958191381",
            "telephone_number": "888-511-4269",
            "fax_number": "888-511-4258"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 FULTON AVE STE 270",
            "city": "SACRAMENTO",
            "state": "CA",
            "postal_code": "958254516",
            "telephone_number": "888-511-4269",
            "fax_number": "888-511-4258"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JEFFERY D. WILFONG, MARRIAGE, CHILD, AND FAMILY COUNSELING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-06-01",
        "last_updated": "2012-06-01",
        "status": "A",
        "authorized_official_last_name": "WILFONG",
        "authorized_official_first_name": "JEFFERY",
        "authorized_official_middle_name": "DOUGLAS",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "888-511-4269",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "MFT"
    },
    "taxonomies": [
        {
            "code": "106H00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Marriage & Family Therapist",
            "state": "CA",
            "license": "MFCC 46654",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Cypress Holistic Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Donetta Jefferson
• Mercedes Jefferson
• Osha-Esh Jefferson
• Sandra Jefferson
• Tonya Jefferson
• Jeffery W Adkins MD
• Melissa Anne Jeffery
• Dana Ellen Jefffrey
• Jeffrey a Sweat MD PC
• Jeffrey D. Kauffman MD, Inc.

• Marriage & Family Therapist in Sacramento, CA
• Providers in Sacramento, CA by specialty
• Marriage & Family Therapist in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 1, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.