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FREMONT REHAB NPI 1316649395


NPI Information

NPI: 1316649395
Provider Name: FREMONT REHAB
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Organization

CLIA Number: 05D2217869

Address:
37112 MAPLE ST STE B
FREMONT, CA
ZIP 94536
Phone: (310) 343-8684
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FREMONT REHAB is a marriage family therapist in Fremont, CA. The provider is 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. FREMONT REHAB NPI is 1316649395. The provider is registered as an organization entity type and is a multiple single specialty group.

The provider's business location address is:

37112 MAPLE ST STE B
FREMONT, CA
ZIP 94536-867
Phone: (310) 343-8684

The provider's authorized official is Nathan Young .
The authorized official title is Manager and has the following contact phone number (310) 343-8684.

The CLIA number assigned to this NPI record is 05D2217869 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 3/21/2023 and was last updated on 4/10/2023.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1101YA0400XCounselorAddiction (Substance Use Disorder)No
2101YM0800XCounselorMental HealthNo
3106H00000XMarriage & Family TherapistYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

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