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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

RUTH MARYA FANKUSHEN, LMFT

Active Sole Proprietor

Marriage & Family Therapist · DAVIS, CA

Registration Details

NPI Number
1386055341
Provider Type
Individual
Gender
Female
NPI Issued
May 13, 2014 (11.960053129992 yrs)
Last Updated
Sep 19, 2018
Licenses
IMF 74268 (CA)
94555 (CA)
Sole Proprietor
Yes

Practice Information

Address
2655 PORTAGE BAY E STE 4
DAVIS, CA, 956163073
Browse CA providers · Browse ZIP 95616
Phone
5305078647
Fax
5303023388
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in DAVIS, CA

Name Credential NPI
JUDITH MANHEIM BLUM MFT 1306849930
MARTA INDUNI MFC 1164428686
MR. RICHARD KILFOYLE M.F.T. 1467486647
MS. SUSAN LYNNE BLAINE MFT 1174542666
MS. WENDY ELLEN WATSON MFT 1447270947
KATHLEEN ALYCE BAXTER MFT 1497762215
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.