Provider Demographics
NPI:1780918714
Name:WEBSTER, MADHUR-NAIN (MED, MFT)
Entity type:Individual
Prefix:
First Name:MADHUR-NAIN
Middle Name:
Last Name:WEBSTER
Suffix:
Gender:F
Credentials:MED, MFT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1370 TRANCAS ST # 217
Mailing Address - Street 2:
Mailing Address - City:NAPA
Mailing Address - State:CA
Mailing Address - Zip Code:94558-2912
Mailing Address - Country:US
Mailing Address - Phone:707-225-4219
Mailing Address - Fax:
Practice Address - Street 1:1443 MAIN ST STE 235
Practice Address - Street 2:
Practice Address - City:NAPA
Practice Address - State:CA
Practice Address - Zip Code:94559-1998
Practice Address - Country:US
Practice Address - Phone:707-225-4219
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-23
Last Update Date:2009-09-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC 45257106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist