DIANA S POULSON


Address: 7765 Healdsburg Ave, Sebastopol, CA 95472-3309
Phone: 7078244782

DIANA S POULSON (NPI# 1114241205) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1114241205
Entity Type Individual
Full Name DIANA S POULSON
Practice Address 7765 Healdsburg Ave
Sebastopol
CA 95472-3309
Mailing Address 708 Gravenstein Hwy N
#339
Sebastopol
CA 95472-2808
Practice Telephone 7078244782
Mailing Telephone 7078244782
Enumeration Date 2010-03-18
Last Update Date 2010-03-18
Gender Code F
Is Sole Proprietor Y

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist MFC34244 CA Behavioral Health & Social Service Providers

Office Location

Street Address 7765 HEALDSBURG AVE
City SEBASTOPOL
State CA
Zip Code 95472-3309

Providers in the same location

NPI Name Taxonomy Address Enumeration
1497809941 Heather R. Bone Counselor 7765 Healdsburg Ave, Suite 12, Sebastopol, CA 95472-3309 2007-01-22
1306484605 Maggie Self, Lmft Marriage & Family Therapist 7765 Healdsburg Ave, Sebastopol, CA 95472-3309 2019-12-17
1013484773 Shoshana Rose Davis Marriage & Family Therapist 7765 Healdsburg Ave, Sebastopol, CA 95472-3309 2018-10-30
1962988923 Vanessa Eyen Marriage & Family Therapist 7765 Healdsburg Ave, Sebastopol, CA 95472-3309 2018-07-12
1932583614 Theresa M Hozian Psychologist 7765 Healdsburg Ave, Suite 17, Sebastopol, CA 95472-3309 2015-07-13
1275915878 Chase L Desso Acupuncturist 7765 Healdsburg Ave, Sebastopol, CA 95472-3309 2015-06-19
1356622351 Claudia Haskel-seidner Marriage & Family Therapist 7765 Healdsburg Ave, Suite 18, Sebastopol, CA 95472-3309 2011-09-02
1225318017 Elaine Sohier Gayler Marriage & Family Therapist 7765 Healdsburg Ave, Suite 12, Sebastopol, CA 95472-3309 2011-08-24
1295970812 Angelica Roseria Jochim Marriage & Family Therapist 7765 Healdsburg Ave, Sebastopol, CA 95472 2008-12-10
1215199054 Maggie Rose Self Counselor 7765 Healdsburg Ave, Sebastopol, CA 95472 2008-07-01
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Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1558916791 Mellisa Nicole Elrod Occupational Therapist 1935 Gravenstein Hwy, Sebastopol, CA 95472 2019-08-05
1457820987 Isabel Brooke Martinez Acupuncturist 961 Gravenstein Hwy South, # 100, Sebastopol, CA 95472 2018-11-14
1275025470 Shahbano Syeda Specialist/Technologist 846/848 Gravenstein Hwy South, Sebastopol, CA 95472 2018-06-04
1467990812 Mathew Metzgar Marriage & Family Therapist 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 2017-02-06
1760939318 Andrea Kirk Psychologist 876 Gravenstein Hwy S., Suite 6, Sebastopol, CA 95472 2016-09-01
1548629371 Stacy Simons Massage Therapist 103 Morris St Ste V, Sebastopol, CA 95472 2016-02-22
1619341880 Carol Schmid Counselor 1800 N, Gravenstein Hwy, Sebastopol, CA 95472 2015-11-25
1801273727 Aaron Martinez Specialist/Technologist 7441 Witter Road, Sebastopol, CA 95472 2015-04-29
1699167049 Nia Kaye Marriage & Family Therapist 130 Petaluma Ave Ste 2c, Sebastopol, CA 95472 2015-02-23
1497091383 Caitlin Marie Kirkman Midwife 5611 Hessel Ave, Sebastopol, CA 95472 2012-12-20
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Taxonomy Information

Taxonomy Code 106H00000X
Grouping Behavioral Health & Social Service Providers
Classification Marriage & Family Therapist

Taxonomy Definition

A marriage and family therapist is a person with a master's degree in marriage and family therapy, or a master's or doctoral degree in a related mental health field with substantially equivalent coursework in marriage and family therapy, who receives supervised clinical experience, or a person who meets the state requirements to practice as a marriage and family therapist. A marriage and family therapist treats mental and emotional disorders within the context of marriage and family systems. A marriage and family therapist provides mental health and counseling services to individuals, couples, families, and groups.

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1306452495 Sharon Siegler Marriage & Family Therapist 708 Robinson Rd, Sebastopol, CA 95472-4104 2020-09-23
1487281564 Dana C. Andrews Marriage & Family Therapist 1800 N. Grarenstein Hwy, Sebastopol, CA 95472-2079 2020-03-26
1871127845 Mary Michelle Good Marriage & Family Therapist 313 N Main St Ste C, Sebastopol, CA 95472-3437 2020-02-27
1457999781 Mary Denise Hinsdale Marriage & Family Therapist 120 Pleasant Hill Ave N Ste 370, Sebastopol, CA 95472-3169 2019-12-17
1629502638 Chi Recovery, Inc. Marriage & Family Therapist 105 Morris St Ste 214, Sebastopol, CA 95472-3847 2017-04-17
1669910642 Doris Mcdonnell Marriage & Family Therapist 7866 Bodega Ave, C#2, Sebastopol, CA 95472-3500 2017-02-09
1467990812 Mathew Metzgar Marriage & Family Therapist 1800 N. Gravenstein Hwy, Sebastopol, CA 95472 2017-02-06
1215482773 Joaquin Lopez De San Roman Marriage & Family Therapist 2650 Burnside Rd, Sebastopol, CA 95472-9424 2016-08-24
1902260938 Deborah Mccallum Marriage & Family Therapist 470 Pitt Ave, Sebastopol, CA 95472-3747 2016-04-06
1366810848 Mary Jane Covell Marriage & Family Therapist 6914 Sebastopol Ave Ste B, Sebastopol, CA 95472-3460 2015-09-14
Find all providers in SEBASTOPOL

Competitor

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City SEBASTOPOL
Zip Code 95472

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Dataset Information

Data Provider Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES)
Jurisdiction Medicare & Medicaid

This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.

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