Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
CAROLYN DETIERRA, MFT
Active Sole ProprietorCAROLYN DETIERRA, MFT is a Marriage & Family Therapist healthcare provider located in SANTA ROSA, California. NPI 1780090571 is currently active in the NPPES registry. Verify at CMS.
Marriage & Family Therapist · SANTA ROSA, CA
Registration Details
- NPI Number
- 1780090571
- Provider Type
- Individual
- Gender
- Female
- NPI Issued
- Jul 1, 2014 (11.933235851263 yrs)
- Last Updated
- May 19, 2022
- License
-
45053 (CA)
- Sole Proprietor
- Yes
Practice Information
- Address
-
480 TESCONI CIR STE BSANTA ROSA, CA, 954014691Browse CA providers · Browse ZIP 95401
- Phone
- 7075831456
- Primary Specialty
-
Marriage & Family Therapist
106H00000X
Other Marriage & Family Therapist Providers in SANTA ROSA, CA
| Name | Credential | NPI |
|---|---|---|
| MR. TIMOTHY DAVID STEIN | MFT | 1376531012 |
| MS. GUDRUN ZOMERLAND | MFT | 1699708024 |
| MS. MARGARET JOURDAIN | MA, MFT | 1669406435 |
| ROBERT B CASANOVA | MFT | 1831115864 |
| DAVID ANTHONY BENOIT | MFT | 1871519827 |
| MR. ARTHUR ROSENTHAL | MFT | 1144240037 |
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.