Provider Demographics
NPI:1861995276
Name:DANIEL J. OFFIELD, MARRIAGE AND FAMILY THERAPIST, A PROFESSIONAL CORP
Entity type:Organization
Organization Name:DANIEL J. OFFIELD, MARRIAGE AND FAMILY THERAPIST, A PROFESSIONAL CORP
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:209-954-1311
Mailing Address - Street 1:1833 W MARCH LN STE 6
Mailing Address - Street 2:
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-6415
Mailing Address - Country:US
Mailing Address - Phone:209-954-1311
Mailing Address - Fax:209-951-7083
Practice Address - Street 1:1833 W MARCH LN STE 6
Practice Address - Street 2:
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-6415
Practice Address - Country:US
Practice Address - Phone:209-954-1311
Practice Address - Fax:209-951-7083
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:DANIEL J. OFFIELD, MARRIAGE AND FAMILY THERAPIST, A PROFESSIONAL CORP
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-03-12
Last Update Date:2020-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes106H00000XBehavioral Health & Social Service ProvidersMarriage & Family TherapistGroup - Single Specialty