Provider Demographics
NPI:1083726418
Name:FRANK, MICHAEL A (MS MFT LPCC)
Entity Type:Individual
Prefix:MR
First Name:MICHAEL
Middle Name:A
Last Name:FRANK
Suffix:
Gender:M
Credentials:MS MFT LPCC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:2377 GOLD MEADOW WAY #100
Mailing Address - Street 2:
Mailing Address - City:GOLD RIVER
Mailing Address - State:CA
Mailing Address - Zip Code:95670
Mailing Address - Country:US
Mailing Address - Phone:916-484-7988
Mailing Address - Fax:916-237-0340
Practice Address - Street 1:2377 GOLD MEADOW WAY #100
Practice Address - Street 2:
Practice Address - City:GOLD RIVER
Practice Address - State:CA
Practice Address - Zip Code:95670
Practice Address - Country:US
Practice Address - Phone:916-484-7988
Practice Address - Fax:916-237-0340
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2014-10-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA13259106H00000X
CACRC1866101Y00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No101Y00000XBehavioral Health & Social Service ProvidersCounselor