MEDICARE: MONICA L BURFORD 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	109798	CA

General Provider Information

NPI Number	:	1992106389
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MONICA L BURFORD LMFT

Provider Business Mailing Address
First Line	:	5960 S LAND PARK DR # 1197
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95822-3313
Country	:	US
Telephone Number	:	707-474-8970
Fax Number	:

Provider Business Practice Location Address
First Line	:	5960 S LAND PARK DR # 1197
Second Line	:
City	:	SACRAMENTO
State	:	CA
Zip	:	95822-3313
Country	:	US
Telephone Number	:	707-474-8970
Fax Number	:

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

Provider Enumeration Date	:	09/04/2014
Last Update Date	:	09/01/2024

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