MS. Canon J. Western, M.F.T.
NPI #1376780684 in Santa Cruz, California
Provider Information
- NPI Number
- 1376780684
- Entity Type
- Individual
- Name
- MS. Canon J. Western, M.F.T.
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Marriage & Family Therapist
- Credential
- M.F.T.
- Enumeration Date
- Jan 8, 2009
- Last Updated
- Jan 8, 2009
Practice Location
- Address
- 147 S RIVER ST
- Address 2
- SUITE 204
- City
- Santa Cruz
- State
- California
- ZIP Code
- 95060-4551
- Phone
- (831) 454-9155
Specialties & Taxonomy Codes
| Specialty |
|---|
| Marriage & Family Therapist |
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