NPI 1174723597 · live from the CMS NPI Registry
Tabitha Elizabeth Baldwin, M.S. LMFT, LPCC
Marriage & Family Therapist in San Mateo, CA. National Provider Identifier 1174723597, active.
NPI record
| NPI | 1174723597 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Marriage & Family Therapist 106H00000X |
| Practice location | 400 Concar Dr, San Mateo, CA 94402 |
| Practice phone | 650-769-5810 |
| Mailing address | 178 Silverberry St, Hamilton, MT 59840 |
| Enumerated | July 23, 2007 |
| Last updated | July 26, 2022 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Counselor, Mental Health | 101YM0800X | 1250 (CA) |
| Marriage & Family Therapist | 106H00000X | 9031 (ID) |
| Marriage & Family Therapist primary | 106H00000X | 46032 (CA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.