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MARIE J EGERTSON NPI 1972193944


NPI Information

NPI: 1972193944
Provider Name: MARIE J EGERTSON
Classification: Marriage & Family Therapist - 106H00000X
Entity Type: Individual
Address:
1756 S LEWIS RD
CAMARILLO, CA
ZIP 93012
Phone: (805) 383-3669
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Marie J Egertson is a marriage family therapist in Camarillo, 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. Marie J Egertson NPI is 1972193944. 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:

1756 S LEWIS RD
CAMARILLO, CA
ZIP 93012-520
Phone: (805) 383-3669

The enumeration date for this NPI number is 1/22/2021 and was last updated on 12/18/2023.


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
1106H00000XMarriage & Family Therapist143584CALIFORNIAYes
2171M00000XCase Manager/Care CoordinatorNo

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
1941735271OTHERCALIFORNIA1831308659
2941735271OTHERCALIFORNIA1578772323
3941735271OTHERCALIFORNIA1518176379
4941735271OTHERCALIFORNIA1982813721

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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