Marian Andrea Willingham, LMFT

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

NPI 1992096994 · NPPES record last updated Jul 21, 2022

Key facts

NPI
1992096994
Entity type
Individual (NPI type 1)
Primary specialty
Marriage & Family Therapist 106H00000X
License
MFC45738 (CA)
Practice address
910 Hartford St
Cambria, CA 93428
Phone
(805) 909-2057
Fax
(805) 927-8150
NPI assigned
Apr 25, 2011
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

LicenseStateTypeSpecialty
MFC45738CAMDMarriage & Family Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Marriage & Family Therapist 106H00000X MFC45738 CA Yes

Addresses

Primary practice location

910 Hartford St
Cambria, CA 93428

Mailing address

Pob 52
Cambria, CA 93428
Phone (805) 909-2057

Other providers in Cambria, CA

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

Sources for this page

Verify at the official NPI Registry.