Provider Demographics
NPI:1922682269
Name:CLASON MARRIAGE & FAMILY THERAPY CENTER
Entity Type:Organization
Organization Name:CLASON MARRIAGE & FAMILY THERAPY CENTER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:WENDY
Authorized Official - Middle Name:
Authorized Official - Last Name:CLASON
Authorized Official - Suffix:
Authorized Official - Credentials:LMFT
Authorized Official - Phone:661-323-5579
Mailing Address - Street 1:5500 MING AVE STE 130
Mailing Address - Street 2:
Mailing Address - City:BAKERSFIELD
Mailing Address - State:CA
Mailing Address - Zip Code:93309-4619
Mailing Address - Country:US
Mailing Address - Phone:661-323-5579
Mailing Address - Fax:661-323-5575
Practice Address - Street 1:5500 MING AVE STE 130
Practice Address - Street 2:
Practice Address - City:BAKERSFIELD
Practice Address - State:CA
Practice Address - Zip Code:93309-4619
Practice Address - Country:US
Practice Address - Phone:661-323-5579
Practice Address - Fax:661-323-5575
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-12
Last Update Date:2021-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty