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

CARISSA GROEN

Active Sole Proprietor

CARISSA GROEN is a Marriage & Family Therapist healthcare provider located in MODESTO, California. NPI 1891343422 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · MODESTO, CA

Registration Details

NPI Number
1891343422
Provider Type
Individual
Gender
Female
NPI Issued
Aug 27, 2019 (6.960751639514 yrs)
Last Updated
Aug 22, 2024
Licenses
114704 (CA)
137275 (CA)
Sole Proprietor
Yes

Practice Information

Address
1213 COFFEE RD STE P
MODESTO, CA, 953554229
Browse CA providers · Browse ZIP 95355
Phone
2095278943
Primary Specialty
Marriage & Family Therapist
106H00000X
Additional Specialty
Marriage & Family Therapist

Other Marriage & Family Therapist Providers in MODESTO, CA

Name Credential NPI
MS. CAROLE GAY WALKER MFT 1528058294
ALFONSO HERNANDEZ LCSW 1942283148
MRS. MICHELE DIANA CORGIAT MFT 1275563124
MR. WESS J FERGUSON M.F.T. 1922027382
MR. JOHN M QUINONES M.A., M.F.T. 1386663045
REBECCA ANN PEDERSEN LMFT 1902826266
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.