MEDICARE: MS. ESTHER JUDITH FABER MA 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
1	106H00000X	Marriage & Family Therapist	MFT15254	CA
2	106H00000X	Marriage & Family Therapist	LMFT15254	CA

General Provider Information

NPI Number	:	1215098215
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. ESTHER JUDITH FABER MA LMFT

Provider Business Mailing Address
First Line	:	43300 LITTLE RIVER AIRPORT RD #78
Second Line	:
City	:	LITTLE RIVER
State	:	CA
Zip	:	95456-9612
Country	:	US
Telephone Number	:	707-937-9916
Fax Number	:

Provider Business Practice Location Address
First Line	:	43300 LITTLE RIVER AIRPORT RD #78
Second Line	:
City	:	LITTLE RIVER
State	:	CA
Zip	:	95456-9612
Country	:	US
Telephone Number	:	707-937-9916
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	12/13/2006
Last Update Date	:	09/12/2024

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