MS. DIANE R CORDOVA (NPI# 1457456543) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1457456543 |
| Entity Type | Individual |
| Full Name | MS. DIANE R CORDOVA |
| Credential | M.A. |
| Practice Address |
5608 Victoria Ln Citrus Heights CA 95610-7614 |
| Practice Telephone | 9166095116 |
| Mailing Telephone | 9166095116 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2007-07-08 |
| Gender Code | F |
| Is Sole Proprietor | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 106H00000X | Marriage & Family Therapist | Behavioral Health & Social Service Providers |
| Street Address |
5608 VICTORIA LN |
| City | CITRUS HEIGHTS |
| State | CA |
| Zip Code | 95610-7614 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1326682113 | Gregory Dilts | Behavior Technician | 5620 Birdcage Street, 230, Citrus Heights, CA 95610 | 2019-11-04 |
| 1831684059 | Omara Sin | Behavior Technician | 5620 Birdcage Street, Suite 230, Citrus Heights, CA 95610 | 2018-06-29 |
| 1528427804 | Mpl Group, LLC | General Practice | 7601 Sunrise Blvd., Suite 8, Citrus Heights, CA 95610 | 2016-02-16 |
| 1851788327 | L.kravchuk Dental Corporation | Dentist | 6240 San Juan Ave, Suite#f, Citrus Heights, CA 95610 | 2015-04-22 |
| 1093152035 | Lynda Louise Dickerson | Marriage & Family Therapist | 5750 Sunrise Blvd., Citrus Heights, CA 95610 | 2013-05-31 |
| 1346582640 | Vista Child Therapy LLC | Physical Therapist | 7579 Old Auburn Road, Citrus Heights, CA 95610 | 2013-03-25 |
| 1982954475 | Exam Collections and Testing Services LLC | Health Maintenance Organization | 6060 Sunrise Vista Dr Ste 1975, Citrus Heights, CA 95610 | 2012-09-12 |
| 1235486168 | Adam Olives | Behavioral Analyst | 5750 Sunrise Blvd Ste 210b, Citrus Heights, CA 95610 | 2012-08-09 |
| 1245598598 | William S. Fastiggi | Veterinarian | 7484 Sunrise Blvd, Citrus Heights, CA 95610 | 2012-04-24 |
| 1295023679 | The Living Water | Residential Treatment Facility, Physical Disabilities | 7504 Chipmunk Way, Citrus Heights, CA 95610 | 2011-07-19 |
| Find all providers in zip 95610 | ||||
| Taxonomy Code | 106H00000X |
| Grouping | Behavioral Health & Social Service Providers |
| Classification | Marriage & Family Therapist |
| 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. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740718923 | Lisa Gulino | Marriage & Family Therapist | 7649 Sunrise Blvd Ste G, Citrus Heights, CA 95610-2346 | 2017-05-31 |
| 1033668223 | Arianna Gonzalez | Marriage & Family Therapist | 5941 San Juan Ave Ste 12b, Citrus Heights, CA 95610-6539 | 2016-09-28 |
| 1083016141 | Sherrie Silver | Marriage & Family Therapist | 6635 Sylvan Rd, 923, Citrus Heights, CA 95610-4400 | 2014-09-19 |
| 1093152035 | Lynda Louise Dickerson | Marriage & Family Therapist | 5750 Sunrise Blvd., Citrus Heights, CA 95610 | 2013-05-31 |
| 1497912695 | William Clifford Burg | Marriage & Family Therapist | 6060 Sunrise Vista Dr Ste 1110c, Citrus Heights, CA 95610 | 2008-05-16 |
| 1922274513 | Mary L. Fairley-slocum | Marriage & Family Therapist | 7806 Uplands Way Ste A, Citrus Heights, CA 95610-7567 | 2008-05-02 |
| 1184817488 | Robert Berry Mcvaugh | Marriage & Family Therapist | 6006 Broken Arrow Court, Citrus Heights, CA 95621 | 2007-08-21 |
| 1093923278 | Elizabeth Horrillo | Marriage & Family Therapist | 6345 Auburn Blvd, Suite 'a', Citrus Heights, CA 95621-5203 | 2007-05-19 |
| 1235242660 | Vildana Kapidzic Fulton | Marriage & Family Therapist | 7806 Uplands Way, Suite A, Citrus Heights, CA 95610-7567 | 2006-08-17 |
| 1275646960 | Charlie Ruff | Marriage & Family Therapist | 6381 Auburn Blvd, Citrus Heights, CA 95621-5273 | 2006-08-16 |
| Find all providers in CITRUS HEIGHTS | ||||
| City | CITRUS HEIGHTS |
| Zip Code | 95610 |
Please comment or provide details below to improve the information on MS. DIANE R CORDOVA.
| 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.