Healthcare Provider Details

I. General information

NPI: 1467512616
Provider Name (Legal Business Name): JAMES PIEKARSKI MFT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 12/11/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

107 E MICHELTORENA ST
SANTA BARBARA CA
93101-1905
US

IV. Provider business mailing address

1055 CASITAS PASS RD 202
CARPINTERIA CA
93013-2156
US

V. Phone/Fax

Practice location:
  • Phone: 805-965-3434
  • Fax: 805-965-3797
Mailing address:
  • Phone: 805-455-9347
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106H00000X
TaxonomyMarriage & Family Therapist
License NumberMFT 29776
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: