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

MS. NITYA PREMA, MFT

Active Sole Proprietor

MS. NITYA PREMA, MFT is a Marriage & Family Therapist healthcare provider located in ANGELS CAMP, California. NPI 1942362488 is currently active in the NPPES registry. Verify at CMS.

Marriage & Family Therapist · ANGELS CAMP, CA

Registration Details

NPI Number
1942362488
Provider Type
Individual
Gender
Female
NPI Issued
Dec 14, 2006 (19.677364661229 yrs)
Last Updated
Dec 20, 2011
License
MFC18492 (CA)
Sole Proprietor
Yes

Practice Information

Address
1311 SOUTH MAIN ST
ANGELS CAMP, CA, 95222
Browse CA providers · Browse ZIP 95222
Phone
2097950755
Fax
2097950755
Primary Specialty
Marriage & Family Therapist
106H00000X

Other Marriage & Family Therapist Providers in ANGELS CAMP, CA

Name Credential NPI
MS. JANE S LUCAS MFT 1760538532
JONATHAN CHARLES BLANKENSHIP 1053055301
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.