Provider Demographics
NPI:1366458697
Name:CURAMENG TERESI, MARIA VAUGHN (MS)
Entity Type:Individual
Prefix:MS
First Name:MARIA
Middle Name:VAUGHN
Last Name:CURAMENG TERESI
Suffix:
Gender:F
Credentials:MS
Other - Prefix:MS
Other - First Name:MARIA
Other - Middle Name:VAUGHN
Other - Last Name:CURAMENG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS
Mailing Address - Street 1:3335 WATT AVE STE B-130
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-3615
Mailing Address - Country:US
Mailing Address - Phone:916-767-4735
Mailing Address - Fax:916-856-5708
Practice Address - Street 1:3121 TAMALPAIS WAY
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-2544
Practice Address - Country:US
Practice Address - Phone:916-767-4735
Practice Address - Fax:916-856-5708
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-31
Last Update Date:2022-11-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 48006106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist