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Kevin Osugi Cisneros
Marriage & Family Therapist in Santa Cruz, California
NPI 1477817476

Kevin Osugi Cisneros is a Marriage & Family Therapist based in Santa Cruz, CA. Kevin Osugi Cisneros practices in Santa Cruz, CA. The NPI Number for Kevin Osugi Cisneros is 1477817476 and holds a License No. LMFT95740 (California).

The current practice location address for Kevin Osugi Cisneros is 1400 Emeline Ave Bldg K, Santa Cruz, CA and can be reached out via phone at 831-454-4957.

Location: 1400 Emeline Ave Bldg K, Santa Cruz, CA, 95060-2126
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1477817476
Provider Name
Kevin Osugi Cisneros
Credential
Provider Entity Type
Individual
Gender
Male
Address
1400 Emeline Ave Bldg K, Santa Cruz, CA, 95060-2126
Phone Number
831-454-4957
Fax Number
Provider Enumeration Date
06/25/2012
Last Update Date
08/17/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
ZZZ91892Z 01 CA SANT CRUZ COUNTY MEDICARE GROUP PTAN#
institution
Provider Business Practice Location Address Details
Address
1400 Emeline Ave Bldg K
City
Santa Cruz
State
California
Zip
95060-1976
Phone Number
831-454-4957
Fax Number
person
Provider Business Mailing Address Details
Address
1400 Emeline Ave Bldg K
City
Santa Cruz
State
California
Zip
95060-1976
Phone Number
831-454-4957
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
LMFT95740 (California)
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.
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