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Randolph Farase

Marriage & Family Therapist in Roseville, CA. Individual provider (NPI-1).

NPI number1194569293
StatusActive
Last updated in NPPESDec 31, 2025

Details

NPI
1194569293
Entity type
Individual (NPI-1)
Name
Randolph Farase
Sex
Male
Sole proprietor
No
Enumeration date
Jun 24, 2024
Certification date
Dec 31, 2025
Last updated
Dec 31, 2025

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family TherapistAMFT143296CAYes

Practice location

1382 Blue Oaks Blvd Ste 213
Roseville, CA 95678-7052

Phone 916-312-4669

Mailing address

2335 American River Dr Ste 301
Sacramento, CA 95825-7088

Phone 916-609-5100

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