NPI Code Details Logo

NPI 1982139663

NPI 1982139663 : INGRID JOHNSON REDDING LMFT : WINDSOR, CA

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1982139663
-----------------------------------------------------
    Entity Type          |    Individual 
-----------------------------------------------------
    Provider Name        |    INGRID JOHNSON REDDING LMFT
-----------------------------------------------------
    Gender               |    Female 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    05/01/2017
-----------------------------------------------------
    Last Update Date     |    12/05/2025
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    9240 OLD REDWOOD HWY STE 246 
-----------------------------------------------------
    City                 |    WINDSOR
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    95492-9348
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    707-278-8553
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    PO BOX 4124 
-----------------------------------------------------
    City                 |    NAPA
-----------------------------------------------------
    State                |    CA
-----------------------------------------------------
    Zip                  |    94558-0412
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    707-477-1115
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    
-----------------------------------------------------
    Name                 |        
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    106H00000X
-----------------------------------------------------
    Taxonomy Name        |    Marriage & Family Therapist
-----------------------------------------------------
    License Number       |    LMFT147734
-----------------------------------------------------
    License Number State |    CA
-----------------------------------------------------



                        

Copyright © 2007-2025 Data Labs Health. All rights reserved.