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La Tasha Marie Knighten

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

NPI number1669186169
StatusActive
Last updated in NPPESSep 15, 2026

Details

NPI
1669186169
Entity type
Individual (NPI-1)
Name
La Tasha Marie Knighten
Sex
Female
Sole proprietor
No
Enumeration date
Jan 9, 2023
Certification date
Sep 15, 2026
Last updated
Sep 15, 2026

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
106H00000X Marriage & Family Therapist147905CAYes
390200000X Student in an Organized Health Care Education/Training Program––

Practice location

2460 Clay Bank Rd
Fairfield, CA 94533-1655

Phone 415-690-0347

Mailing address

2460 Clay Bank Rd
Fairfield, CA 94533-1655

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