Provider Demographics
NPI:1295204451
Name:TESSA BARROWS, MARRIAGE & FAMILY THERAPIST, PC
Entity Type:Organization
Organization Name:TESSA BARROWS, MARRIAGE & FAMILY THERAPIST, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TESSA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARROWS
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:415-999-4625
Mailing Address - Street 1:322 MACALVEY DR
Mailing Address - Street 2:
Mailing Address - City:MARTINEZ
Mailing Address - State:CA
Mailing Address - Zip Code:94553-6620
Mailing Address - Country:US
Mailing Address - Phone:415-999-4625
Mailing Address - Fax:
Practice Address - Street 1:37 QUAIL CT STE 201
Practice Address - Street 2:
Practice Address - City:WALNUT CREEK
Practice Address - State:CA
Practice Address - Zip Code:94596-5593
Practice Address - Country:US
Practice Address - Phone:925-378-2428
Practice Address - Fax:925-322-2517
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-11-17
Last Update Date:2018-12-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty