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

WILLIAM J. FORMAKER, MFT

Active Organization

WILLIAM J. FORMAKER, MFT is a Marriage & Family Therapist organization located in SANTA ROSA, California. NPI 1841605961 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · SANTA ROSA, CA

Registration Details

NPI Number
1841605961
Provider Type
Organization
NPI Issued
Jun 26, 2014 (12.11325364107 yrs)
Last Updated
Jun 26, 2014
License
MFT29030 (CA)

Practice Information

Address
606 BEAVER ST
SANTA ROSA, CA, 954044228
Browse CA providers · Browse ZIP 95404
Phone
7075445717
Fax
7078878288
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Organizations in SANTA ROSA, CA

Data sourced from the NPPES National Provider Identifier registry. Healthcare organizations registered in NPPES are assigned an NPI number for use in insurance billing and claims. This information is for informational purposes only. For official verification, use the NPPES NPI Registry.