Taylor Tessendore
Marriage & Family Therapist in Sonoma, CA. Individual provider (NPI-1).
NPI number1871362525
StatusActive
Last updated in NPPESDec 21, 2023
Details
- NPI
- 1871362525
- Entity type
- Individual (NPI-1)
- Name
- Taylor Tessendore
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Dec 21, 2023
- Certification date
- Dec 21, 2023
- Last updated
- Dec 21, 2023
Medicare and OIG
- Medicare enrolled (PECOS)
- Not in the Medicare enrollment file
- Can order and refer
- Not on the CMS order and referring list
- OIG exclusion list
- This NPI is not listed
CMS and OIG files of November 2026. PECOS lookup · OIG exclusion check
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 106H00000X | Marriage & Family Therapist | 130371 | CA | Yes |
Practice location
814 BroadwaySonoma, CA 95476-7013
Phone 707-509-8031
Mailing address
5702 E Behymer AveClovis, CA 93619-9566
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
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All 52 Marriage & Family Therapist providers in Sonoma · All 512 providers in Sonoma
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