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NPI Code Detail

MEDICARE: RACHAEL MASSON LMFT

MEDICARE: RACHAEL MASSON LMFT
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1106H00000XMarriage & Family Therapist45908CA

General Provider Information

NPI Number : 1619039385
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHAEL MASSON LMFT
Provider Business Mailing Address
First Line : 801 EMPIRE ST
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-5702
Country : US
Telephone Number : 707-425-5744
Fax Number :
Provider Business Practice Location Address
First Line : 801 EMPIRE ST
Second Line :
City : FAIRFIELD
State : CA
Zip : 94533-5702
Country : US
Telephone Number : 707-425-5744
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/15/2006
Last Update Date : 07/07/2015

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Directions to “ RACHAEL MASSON LMFT” Practice Location

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