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

Carolyn Detierra, MFT

Individual provider Marriage & Family Therapist · NPI 1780090571

Carolyn Detierra, MFT is a Marriage & Family Therapist in Santa Rosa, California. Practices as a sole proprietor. Licensed in California.

Licensed in
CA
In the registry since
2014
What do these letters mean?
MFT — Marriage and Family Therapist
A therapist who treats couples and families.

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Practice location Address checks out

480 Tesconi Cir Ste B
Santa Rosa, CA 95401-4691
Phone: (707) 583-1456
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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 · Licence 45053 (CA)

Record details

NPI number1780090571
Entity typeIndividual (Type 1)
GenderFemale
Credentials MFT
Sole proprietorYes
NPI enumeratedJuly 1, 2014
Last updated in NPPESMay 19, 2022
Certification dateMay 19, 2022

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