MS. MARIETTA WIKSTROM


Address: 303 41st St, Richmond, CA 94805-2221
Phone: 5103747204

MS. MARIETTA WIKSTROM (NPI# 1497806293) 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) 1497806293
Entity Type Individual
Full Name MS. MARIETTA WIKSTROM
Other Name MS. MARIETTA W CHAMPLIN
Credential LMFT
Practice Address 303 41st St
Richmond
CA 94805-2221
Practice Telephone 5103747204
Mailing Telephone 5103747204
Enumeration Date 2007-01-16
Last Update Date 2007-07-08
Gender Code F
Is Sole Proprietor N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 106H00000X Marriage & Family Therapist 20691 CA Behavioral Health & Social Service Providers

Office Location

Street Address 303 41ST ST
City RICHMOND
State CA
Zip Code 94805-2221

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760570097 Harold Marc Mcdaniel Psychiatry & Neurology 303 41st St, Richmond, CA 94805-2221 2006-10-11
1467006411 Esther Spearman Student in an Organized Health Care Education/Training Program 303 41st St, Richmond, CA 94805-2221 2019-07-29
1013569011 Daniel Espana Sagastume Student in an Organized Health Care Education/Training Program 303 41st St, Richmond, CA 94805-2221 2019-07-10
1114583952 Karina Almendarez Student in an Organized Health Care Education/Training Program 303 41st St, Richmond, CA 94805-2221 2019-05-17
1194380378 Oeum Daisy Loch Counselor 303 41st St, Richmond, CA 94805-2221 2019-05-03
1659831329 Ana Lilia Torres Counselor 303 41st St, Richmond, CA 94805-2221 2019-03-20
1215496799 Makenna Newton Counselor 303 41st St, Richmond, CA 94805 2019-03-14
1649734880 Candace Charity Collier Counselor 303 41st St, Richmond, CA 94805-2221 2019-01-22
1023486958 Perrine Portillo Student in an Organized Health Care Education/Training Program 303 41st St, Richmond, CA 94805-2221 2015-09-09
1417358763 David Leslie Montgomery Marriage & Family Therapist 303 41st St, Richmond, CA 94805-2221 2014-09-05
Find all providers in the same location

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1134622038 Edward Trujano Behavioral Analyst 616 40th St, Richmond, CA 94805 2018-03-16
1568900439 John Edward Tysell Jr. Internal Medicine 437 Carlston Street, Richmond, CA 94805 2017-02-10
1043661952 Alejandra Cardenas Counselor 4101 Macdonald Avenue, Richmond, CA 94805 2016-06-22
1568582229 Susan Denny Marriage & Family Therapist 207 37th Street, Richmond, CA 94805 2007-03-29
1548312689 Wendy E Maron Marriage & Family Therapist 630 Humboldt St, Richmond, CA 94805 2007-01-17
1518015866 Community Health for Asian Americans Community/Behavioral Health 207 37th St, Richmond, CA 94805 2007-01-05
1508399189 Alejandra Olguin Social Worker 205 39th St, Richmond, CA 94805 2017-04-10
1760872451 Deyda Mendoza Counselor 205 39th St, Richmond, CA 94805 2015-02-02
1245664036 Leonard Deguzman Counselor 207 37th St, Richmond, CA 94805 2013-08-28
1710270285 Erika Susana Ruiz Rodriguez Counselor 205 39th St, Richmond, CA 94805 2011-05-17
Find all providers in zip 94805

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
1972120863 Hugo Gonzales Therapy, Inc Marriage & Family Therapist 3150 Hilltop Mall Rd Ste 4, Richmond, CA 94806-1921 2020-06-26
1831734722 Sudie Summers Althisar Marriage & Family Therapist 2000 Bremo Rd Ste 105, Richmond, VA 23226-2440 2019-11-14
1841841574 Natalya Kuzmicheva Marriage & Family Therapist 2559 Groveview Dr, Richmond, CA 94806-5701 2019-09-24
1902308695 Sheena R Horsford Marriage & Family Therapist 5516 Falmouth St Ste 201, Richmond, VA 23230-1819 2018-03-08
1659873818 Yvette Coronado Mercer Marriage & Family Therapist 3700 Garden Rd, Richmond, VA 23235-1234 2018-03-05
1215311659 Isaac Meadow Marriage & Family Therapist 6285 Bernhard Ave, Richmond, CA 94805-1633 2015-07-15
1164810487 Geraldine Wilson Marriage & Family Therapist 4709 Macdonald Ave, Richmond, CA 94805-2308 2015-01-08
1568865855 Shardae Washington Marriage & Family Therapist 211 N 18th St, Richmond, VA 23223-6905 2014-10-01
1194138230 Mark Fischer Marriage & Family Therapist 627 Lenox Rd, Richmond, MA 01254-5260 2014-06-06
1801207444 Tiana Beard Marriage & Family Therapist 3150 Hilltop Mall Rd Ste 12, Richmond, CA 94806-1921 2014-05-16
Find all providers in RICHMOND

Competitor

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City RICHMOND
Zip Code 94805

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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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