Healthcare Provider Details

I. General information

NPI: 1033468160
Provider Name (Legal Business Name): THERESA MARAGANIS, LMFT LMFT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/05/2012
Last Update Date: 07/21/2022
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5730 PACKARD AVE STE 600
MARYSVILLE CA
95901-7119
US

IV. Provider business mailing address

1965 LIVE OAK BLVD STE A
YUBA CITY CA
95991-8850
US

V. Phone/Fax

Practice location:
  • Phone: 530-749-6898
  • Fax: 530-749-6872
Mailing address:
  • Phone: 530-822-7200
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code101YM0800X
TaxonomyMental Health Counselor
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License Number99918
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: