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Samantha Forman
Marriage & Family Therapist in Oakland, California
NPI 1518601392

Samantha Forman is a Marriage & Family Therapist based in San Anselmo, CA. Samantha Forman practices in Oakland, CA. The NPI Number for Samantha Forman is 1518601392 and holds a License No. 0020808 (California).

The current practice location address for Samantha Forman is 166 Santa Clara Ave Ste 205, Oakland, CA and can be reached out via phone at 510-601-1929 and via fax at 510-660-1194.

Location: 166 Santa Clara Ave Ste 205, Oakland, CA, 94960-1159
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1518601392
Provider Name
Samantha Forman
Credential
Provider Entity Type
Individual
Gender
Female
Address
166 Santa Clara Ave Ste 205, Oakland, CA, 94960-1159
Phone Number
510-601-1929
Fax Number
510-660-1194
Provider Enumeration Date
04/26/2022
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
166 Santa Clara Ave Ste 205
City
Oakland
State
California
Zip
94610-1323
Phone Number
510-601-1929
Fax Number
510-660-1194
person
Provider Business Mailing Address Details
Address
166 Santa Clara Ave Ste 205
City
Oakland
State
California
Zip
94610-1323
Phone Number
510-601-1929
Fax Number
510-660-1194
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
Mental Health
Taxonomy
101YM0800X
License No.
()
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.
0014462 (Colorado)
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.
person
Provider's Taxonomy Details 3
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
0020808 (Colorado)
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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