| Virtual Therapy Live | |
|
5301 Office Park Dr Ste 225 Bakersfield CA 93309-0666 | |
| (661) 201-1449 | |
| (661) 748-1878 |
| Full Name | Virtual Therapy Live |
|---|---|
| Speciality | Marriage & Family Therapist |
| Location | 5301 Office Park Dr Ste 225, Bakersfield, California |
| Authorized Official Name and Position | Holly Amanda Graham (VICE PRESIDENT) |
| Authorized Official Contact | 6612011449 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Virtual Therapy Live 5301 Office Park Dr Ste 225 Bakersfield CA 93309-0666 Ph: (661) 201-1449 | Virtual Therapy Live 5301 Office Park Dr Ste 225 Bakersfield CA 93309-0666 Ph: (661) 201-1449 |
| NPI Number | 1407362247 |
|---|---|
| Provider Enumeration Date | 12/15/2017 |
| Last Update Date | 12/15/2017 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1407362247 | NPI | - | NPPES |
| 1881999431 | Other | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | LMFT48934 (California) | Secondary |
| 106H00000X | Marriage & Family Therapist | LMFT46684 (California) | Primary |
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