Provider Demographics
NPI:1417068685
Name:MUNGAI, MARGARET GAKENIA (MFTI)
Entity Type:Individual
Prefix:MS
First Name:MARGARET
Middle Name:GAKENIA
Last Name:MUNGAI
Suffix:
Gender:F
Credentials:MFTI
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8359 ELK GROVE FLORIN RD # 103-259
Mailing Address - Street 2:
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95829-9298
Mailing Address - Country:US
Mailing Address - Phone:916-475-2557
Mailing Address - Fax:
Practice Address - Street 1:3602 26TH AVE
Practice Address - Street 2:
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95820-4804
Practice Address - Country:US
Practice Address - Phone:916-596-5925
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-31
Last Update Date:2010-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAIMF 58893101YM0800X, 106H00000X, 104100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes101YM0800XBehavioral Health & Social Service ProvidersCounselorMental Health
No106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist
No104100000XBehavioral Health & Social Service ProvidersSocial Worker
Provider Identifiers
StateIdentifier IDID TypeIssuer
CA58893OtherBOARD OF BEHAVIORAL SCIENCES