Provider Demographics
NPI:1053465088
Name:MCFARLAND, JUDITH (MFT)
Entity Type:Individual
Prefix:
First Name:JUDITH
Middle Name:
Last Name:MCFARLAND
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:700 GALE DR
Mailing Address - Street 2:SUITE 230
Mailing Address - City:CAMPBELL
Mailing Address - State:CA
Mailing Address - Zip Code:95008-0944
Mailing Address - Country:US
Mailing Address - Phone:408-566-3119
Mailing Address - Fax:
Practice Address - Street 1:700 GALE DR
Practice Address - Street 2:SUITE 230
Practice Address - City:CAMPBELL
Practice Address - State:CA
Practice Address - Zip Code:95008-0944
Practice Address - Country:US
Practice Address - Phone:408-566-3119
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC38121106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist