Doctor Name: | DIANA S POULSON |
NPI Number: | 1114241205 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | |
License Number: | MFC34244 |
Business Practice Address: | 7765 Healdsburg Ave Sebastopol, CA - 954723309 |
Business Phone Number: | 7078244782 |
Business Fax Number: | |
Mailing Address: | 708 Gravenstein Hwy N, #339 SEBASTOPOL |
State: | CA |
Postal Code: | 954722808 |
Phone Number: | 7078244782 |
Fax Number: | |
NPI Enumeration Date: | 03/18/2010 |
NPI Last Update Date: | 03/18/2010 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 106H00000X |
License Number: | MFC34244 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | CA |
Taxonomy Type: | Behavioral Health & Social Service Providers |
Taxonomy Classification: | Marriage & Family Therapist |
Taxonomy Specialization: | |
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. |