Provider Demographics
NPI:1841321551
Name:RICK, 1953DOROTHY (LMFT)
Entity type:Individual
Prefix:MRS
First Name:1953DOROTHY
Middle Name:
Last Name:RICK
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 1:306 10TH ST
Mailing Address - Street 2:
Mailing Address - City:PACIFIC GROVE
Mailing Address - State:CA
Mailing Address - Zip Code:93950-3517
Mailing Address - Country:US
Mailing Address - Phone:831-657-1372
Mailing Address - Fax:831-657-1378
Practice Address - Street 1:2150 GARDEN RD STE B1
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:CA
Practice Address - Zip Code:93940-5327
Practice Address - Country:US
Practice Address - Phone:831-657-1372
Practice Address - Fax:831-657-1378
Is Sole Proprietor?:No
Enumeration Date:2007-03-07
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAMFC34954106H00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family Therapist