Healthcare Provider Details

I. General information

NPI: 1730206707
Provider Name (Legal Business Name): DANA J. WESTON MFT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/23/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

604 PEARL ST
MONTEREY CA
93940-3070
US

IV. Provider business mailing address

PO BOX 822
CARMEL VALLEY CA
93924-0822
US

V. Phone/Fax

Practice location:
  • Phone: 831-649-4522
  • Fax: 831-647-9136
Mailing address:
  • Phone: 831-758-9457
  • Fax: 831-758-2825

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFC29755
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: