Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
KASSANDRA BOORTZ, LMFT #105335
Active Sole ProprietorKASSANDRA BOORTZ, LMFT #105335 is a Marriage & Family Therapist healthcare provider located in NIPOMO, California. NPI 1407233869 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · NIPOMO, CA
Registration Details
- NPI Number
- 1407233869
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- May 5, 2015 (11.291807699761 yrs)
- Last Updated
- Feb 17, 2023
- Licenses
-
I-MFT 77794 (CA)105335 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
881 PRIMROSE LNNIPOMO, CA, 934445410Browse CA providers · Browse ZIP 93444
- Phone
- 8058881732
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
- Additional Specialty
- Marriage & Family Therapist
Other Marriage & Family Therapist Providers in NIPOMO, CA
| Name | Credential | NPI |
|---|---|---|
| SHANNA LEIGH WILSON | LMFT | 1184719270 |
| MRS. TONYA SUE WILLETT | LMFT | 1649345240 |
| MRS. ELISABETH C BOX | LMFT | 1700912466 |
| TERESA LOUISE PARDINI | M.S.,LMFT | 1053515452 |
| MR. WALTER VINCENT GILLES | LICENSED MFT | 1972777605 |
| LISA VICTORIA GRASSLE | MFT | 1417122292 |
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.