Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
MAXWELL JARED CHURCH, CMT
Active Sole ProprietorMAXWELL JARED CHURCH, CMT is a Counselor healthcare provider located in SANTA ROSA, California. NPI 1578849022 is currently active in the NPPES registry. Verify at CMS.
Counselor · SANTA ROSA, CA
Registration Details
- NPI Number
- 1578849022
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Oct 28, 2011 (14.777223725437 yrs)
- Last Updated
- Oct 28, 2011
- License
-
NONE
- Sole Proprietor
- Yes
Practice Information
- Address
-
634 PRESSLEY STSANTA ROSA, CA, 954045526Browse CA providers · Browse ZIP 95404
- Phone
- 7075736955
- Fax
- 7075438176
- Primary Specialty
-
Counselor
101Y00000X
Other Counselor Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| RAYMOND AVILES | — | 1821158676 |
| SUMIKO NAKANO BOOTH | — | 1508926031 |
| SHEELAUGH EILLEEN DEGNAN | — | 1255492534 |
| MICHAEL E. KEE | — | 1689736779 |
| RAUL MATAMOROS | — | 1326100231 |
| DIANA P. MURRAY | — | 1194887869 |
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.