Cicchetto, Theresa Louise

Cicchetto, Theresa Louise is an individual health care provider with primary practice located at 1300 Oliver Rd Suite 193, Fairfield CA 94534-3413. She recently has only one registered license in Behavioral Health & Social Service Providers / Marriage & Family Therapist, which is considered as her primary health care specialty. Cicchetto, Theresa Louise can be contacted via phone (707) 514-5812.

Contact Information

Primary practice address
1300 Oliver Rd Suite 193 Fairfield CA 94534-3413
Phone: (707) 514-5812
Fax: (707) 422-3302
Website:
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Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Marriage & Family Therapist 106H00000X MFC 43693 California

Profile Details

NPI number 1134280092
LBN Legal business name Cicchetto, Theresa Louise
Credentials Marriage and Family Therapist (MFT)
Entity Individual
Sole proprietor 1 No
Enumeration date Dec 13th, 2006
Last updated Aug 29th, 2012 - about 12 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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