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Mr. Jack Roy Bohanon, MFT
Marriage & Family Therapist in Palo Alto, California
NPI 1508947706

Jack Roy Bohanon is a Marriage & Family Therapist based in Mountain View, CA. Jack Roy Bohanon practices in Palo Alto, CA and has the professional credentials of MFT. The NPI Number for Jack Roy Bohanon is 1508947706 and holds a License No. MFC29822 (California).

The current practice location address for Jack Roy Bohanon is 703 Welch Rd, Palo Alto, CA and can be reached out via phone at 650-599-2262 and via fax at 650-625-1551.

Location: 703 Welch Rd, Palo Alto, CA, 94043-3967
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1508947706
Provider Name
Jack Roy Bohanon
Credential
MFT
Provider Entity Type
Individual
Gender
Male
Address
703 Welch Rd, Palo Alto, CA, 94043-3967
Phone Number
650-599-2262
Fax Number
650-625-1551
Provider Enumeration Date
10/17/2006
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
703 Welch Rd
City
Palo Alto
State
California
Zip
94304-1710
Phone Number
650-599-2262
Fax Number
650-625-1551
person
Provider Business Mailing Address Details
Address
703 Welch Rd
City
Palo Alto
State
California
Zip
94304-1710
Phone Number
650-599-2262
Fax Number
650-625-1551
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
MFC29822 (California)
Definition
Definition to come...
person
Provider's Taxonomy Details 2
Type
Behavioral Health & Social Service Providers
Classification
Marriage & Family Therapist
Speciality
-
Taxonomy
106H00000X
License No.
MFC29822 (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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