Takeda, Momoko

Takeda, Momoko is an individual health care provider with primary practice located at 299 12Th St , Marina CA 93933-6003. 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. Takeda, Momoko can be contacted via phone (831) 647-7626.

Contact Information

Primary practice address
299 12Th St Marina CA 93933-6003
Phone: (831) 647-7626
Fax:
Website:
Map and Directions

Health care specialties

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

Profile Details

NPI number 1528496536
LBN Legal business name Takeda, Momoko
Credentials LMFT
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 30th, 2013
Last updated Aug 8th, 2017 - about 8 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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