Provider Demographics
NPI:1467001164
Name:CHAD FIELDEN MARRIAGE AND FAMILY THERAPY INC
Entity Type:Organization
Organization Name:CHAD FIELDEN MARRIAGE AND FAMILY THERAPY INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CHAD
Authorized Official - Middle Name:
Authorized Official - Last Name:FIELDEN
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:916-822-2520
Mailing Address - Street 1:4944 SUNRISE BLVD STE J3
Mailing Address - Street 2:
Mailing Address - City:FAIR OAKS
Mailing Address - State:CA
Mailing Address - Zip Code:95628-4941
Mailing Address - Country:US
Mailing Address - Phone:916-822-2520
Mailing Address - Fax:
Practice Address - Street 1:4944 SUNRISE BLVD STE J3
Practice Address - Street 2:
Practice Address - City:FAIR OAKS
Practice Address - State:CA
Practice Address - Zip Code:95628-4941
Practice Address - Country:US
Practice Address - Phone:916-822-2520
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-09-05
Last Update Date:2019-09-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty