| Maggie Self, Lmft | |
|
7765 Healdsburg Ave Sebastopol CA 95472-3309 | |
| (707) 583-9518 | |
| (877) 795-8030 |
| Full Name | Maggie Self, Lmft |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 7765 Healdsburg Ave, Sebastopol, California |
| Authorized Official Name and Position | Maggie Rose Self (LMFT) |
| Authorized Official Contact | 7075839518 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Maggie Self, Lmft Po Box 173 Sebastopol CA 95473-0173 Ph: (707) 583-9518 | Maggie Self, Lmft 7765 Healdsburg Ave Sebastopol CA 95472-3309 Ph: (707) 583-9518 |
| NPI Number | 1306484605 |
|---|---|
| Provider Enumeration Date | 12/17/2019 |
| Last Update Date | 12/17/2019 |
| Certification Date | 12/17/2019 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306484605 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
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