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MS. LARISSA ROSE WOLFORD M.A. LMFT NPI 1386920189


NPI Profile

NPI: 1386920189
Provider Name: MS. LARISSA ROSE WOLFORD, M.A., LMFT
Classification:Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
1683 NOVATO BLVD STE 8
NOVATO, CA
ZIP 94947
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Phone: (415) 609-4077

MS. Larissa Rose Wolford, M.A., LMFT is a marriage family therapist in Novato, 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. MS. Larissa Rose Wolford, M.A., LMFT NPI is 1386920189. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

1683 NOVATO BLVD STE 8
NOVATO, CA
ZIP 94947-284
Phone: (415) 609-4077

The enumeration date for this NPI number is 10/25/2011 and was last updated on 1/9/2016.


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
1101YP2500XCounselorProfessional1065CALIFORNIANo
2101YS0200XCounselorSchool140082874CALIFORNIANo
3106H00000XMarriage & Family Therapist47710CALIFORNIAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
113678958OTHERCALIFORNIACAQH

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: 9/12/2021

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