| Radiant Beginnings Marriage Child & Family Therapy | |
|
1651 Vicksburg Dr Fairfield CA 94533-5166 | |
| (707) 654-4659 | |
| Not Available |
| Full Name | Radiant Beginnings Marriage Child & Family Therapy |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 1651 Vicksburg Dr, Fairfield, California |
| Authorized Official Name and Position | Mallory Walters (OWNER/PROVIDER) |
| Authorized Official Contact | 7076544659 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Radiant Beginnings Marriage Child & Family Therapy 1651 Vicksburg Dr Fairfield CA 94533-5166 Ph: () - | Radiant Beginnings Marriage Child & Family Therapy 1651 Vicksburg Dr Fairfield CA 94533-5166 Ph: (707) 654-4659 |
| NPI Number | 1366114464 |
|---|---|
| Provider Enumeration Date | 09/28/2021 |
| Last Update Date | 09/28/2021 |
| Certification Date | 09/28/2021 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1366114464 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | (* (Not Available)) | Primary |
| 171M00000X | Case Manager/care Coordinator | (* (Not Available)) | Secondary |
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