Maggie Rose Self, MFT
NPI #1215199054 in Sebastopol, California
Provider Information
- NPI Number
- 1215199054
- Entity Type
- Individual
- Name
- Maggie Rose Self, MFT
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- MFT
- Enumeration Date
- Jul 1, 2008
- Last Updated
- May 30, 2018
Practice Location
- Address
- 7765 HEALDSBURG AVE
- City
- Sebastopol
- State
- California
- ZIP Code
- 95472
- Phone
- (707) 583-9518
Specialties & Taxonomy Codes
| Specialty |
|---|
| Counselor |
| Marriage & Family Therapist |
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