Kenneth Underwood, MFT
Marriage & Family Therapist in Fairfield, CA. Individual provider (NPI-1).
NPI number1063523918
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1063523918
- Entity type
- Individual (NPI-1)
- Name
- Kenneth Underwood
- Credential
- MFT
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- Aug 31, 2006
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | MFC 39188 | CA | Yes |
Practice location
1530 Webster StSuite D
Fairfield, CA 94533-4994
Phone 707-330-7523 · Fax 707-422-2150
Mailing address
1530 Webster StSuite D
Fairfield, CA 94533-4994
Phone 707-330-7523 · Fax 707-422-2150
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All 238 Marriage & Family Therapist providers in Fairfield · All 4,218 providers in Fairfield
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