Provider Demographics
NPI:1417178039
Name:FARRELL, FRANCINE A (LMFT)
Entity Type:Individual
Prefix:MS
First Name:FRANCINE
Middle Name:A
Last Name:FARRELL
Suffix:
Gender:F
Credentials:LMFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3838 WATT AVE
Mailing Address - Street 2:C300
Mailing Address - City:SACRAMENTO
Mailing Address - State:CA
Mailing Address - Zip Code:95821-2663
Mailing Address - Country:US
Mailing Address - Phone:916-971-1159
Mailing Address - Fax:916-971-0388
Practice Address - Street 1:3838 WATT AVE
Practice Address - Street 2:C300
Practice Address - City:SACRAMENTO
Practice Address - State:CA
Practice Address - Zip Code:95821-2663
Practice Address - Country:US
Practice Address - Phone:916-971-1159
Practice Address - Fax:916-971-0388
Is Sole Proprietor?:Yes
Enumeration Date:2007-05-01
Last Update Date:2014-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC24453106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist