Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
NPIDirectory

Petaluma Family Therapy Inc

Organization Counselor · NPI 1568911964

Petaluma Family Therapy Inc is a Counselor in Petaluma, California. Registered with an NPI since 2016.

In the registry since
2016
Specialties on file
4
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

1496 Professional Dr Ste 602
Petaluma, CA 94954-6698
Phone: (707) 772-5085
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Marriage & Family Therapist (primary) Taxonomy 106H00000X
Counselor Taxonomy 101Y00000X
Professional Counselor Taxonomy 101YP2500X
Clinical Social Worker Taxonomy 1041C0700X

Record details

NPI number1568911964
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Marcus Moore — Owner · (707) 772-5085
NPI enumeratedSeptember 26, 2016
Last updated in NPPESJuly 31, 2025
Certification dateJuly 31, 2025
Mailing address1496 Professional Dr Ste 602, Petaluma, CA 94954-6698

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