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Maxwell Jared Church, CMT
Counselor in Santa Rosa, California
NPI 1578849022

Maxwell Jared Church is a Counselor based in Santa Rosa, CA. Maxwell Jared Church practices in Santa Rosa, CA and has the professional credentials of CMT. The NPI Number for Maxwell Jared Church is 1578849022 and holds a License No. NONE (California).

The current practice location address for Maxwell Jared Church is 634 Pressley St, Santa Rosa, CA and can be reached out via phone at 707-573-6955 and via fax at 707-543-8176.

Location: 634 Pressley St, Santa Rosa, CA, 95407-7342
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1578849022
Provider Name
Maxwell Jared Church
Credential
CMT
Provider Entity Type
Individual
Gender
Male
Address
634 Pressley St, Santa Rosa, CA, 95407-7342
Phone Number
707-573-6955
Fax Number
707-543-8176
Provider Enumeration Date
10/28/2011
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
634 Pressley St
City
Santa Rosa
State
California
Zip
95404-5526
Phone Number
707-573-6955
Fax Number
707-543-8176
person
Provider Business Mailing Address Details
Address
634 Pressley St
City
Santa Rosa
State
California
Zip
95404-5526
Phone Number
707-573-6955
Fax Number
707-543-8176
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Counselor
Speciality
-
Taxonomy
101Y00000X
License No.
NONE ()
Definition
A provider who is trained and educated in the performance of behavior health services through interpersonal communications and analysis. Training and education at the specialty level usually requires a master's degree and clinical experience and supervision for licensure or certification.
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