Provider Demographics
NPI:1043935653
Name:SC MARRIAGE AND FAMILY THERAPY INC.
Entity Type:Organization
Organization Name:SC MARRIAGE AND FAMILY THERAPY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:SEAN
Authorized Official - Middle Name:
Authorized Official - Last Name:CHATMON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:650-241-0709
Mailing Address - Street 1:9500 KIEFER BLVD UNIT 279021
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95827-4219
Mailing Address - Country:US
Mailing Address - Phone:650-241-0709
Mailing Address - Fax:
Practice Address - Street 1:2399 AMERICAN RIVER DR
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95825-7070
Practice Address - Country:US
Practice Address - Phone:650-241-0709
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-06
Last Update Date:2022-10-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0850XAmbulatory Health Care FacilitiesClinic/CenterAdult Mental Health
No261QM0855XAmbulatory Health Care FacilitiesClinic/CenterAdolescent and Children Mental Health