Provider Demographics
NPI:1205097656
Name:SCARMON, ROSEMARY V (MFT)
Entity type:Individual
Prefix:MS
First Name:ROSEMARY
Middle Name:V
Last Name:SCARMON
Suffix:
Gender:F
Credentials:MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:650 E BLITHEDALE AVE
Mailing Address - Street 2:SUITE M
Mailing Address - City:MILL VALLEY
Mailing Address - State:CA
Mailing Address - Zip Code:94941-1478
Mailing Address - Country:US
Mailing Address - Phone:415-497-0086
Mailing Address - Fax:
Practice Address - Street 1:650 E BLITHEDALE AVE
Practice Address - Street 2:SUITE M
Practice Address - City:MILL VALLEY
Practice Address - State:CA
Practice Address - Zip Code:94941-1478
Practice Address - Country:US
Practice Address - Phone:415-497-0086
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-18
Last Update Date:2008-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 13541106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist